The present study investigated characteristics of 24 parasite infection cases detected during colonoscopy in a regional hospital from January 2001 to December 2008. Sixteen patients were confirmed with Trichuris trichiura infection, 6 patients were with Ascaris lumbricoides infection, 1 patient with Enterobius vermicularis infection, and 1 patient with Anisakis infection. Among them, 7 patients (43.8%) were asymptomatic. Colonoscopy findings were normal in 18 patients (75.0%). Among the patients with T. trichiura infection, colonoscopy showed several erosions in 2 patients (8.3%) and non-specific inflammation of the affected segment of the colon in 3 patients (12.5%). In 1 patient with anisakiasis, colonoscopy revealed a markedly swollen colonic wall. Stool examinations were performed before treatment in 7 patients (29.2%) and were all negative for parasite eggs or worms. These results suggest that colonoscopy is a useful diagnostic approach for parasitic infections even for asymptomatic patients and for patients with negative stool examinations.
Adult ; Aged, 80 and over ; Animals ; Anisakis/isolation & purification ; Ascaris lumbricoides/isolation & purification ; *Colonoscopy ; Enterobius/isolation & purification ; Feces/parasitology ; Female ; Helminthiasis/*diagnosis/*epidemiology/pathology ; Hospitals ; Humans ; Intestinal Diseases, Parasitic/*diagnosis/*epidemiology/pathology ; Male ; Middle Aged ; Republic of Korea ; Trichuris/isolation & purification ; Young Adult