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Article in Romanian | MEDLINE | ID: mdl-16938937

ABSTRACT

UNLABELLED: Giardia lamblia (GL) is one of the causes of diarrhoea. GL is a frequent parasite in our country. In the literature, endoscopic aspects of Giardia duodenitis are mentioned. Some authors tried even to make the diagnosis on endoscopic criteria. AIM: The purpose of the study is to find the endoscopic and histopathology changes produced by giardiasis. METHODS: 214 patients entered this study and underwent upper digestive endoscopy. Duodenal and gastric multiple biopsies were taken. Biopsies were stained with hematoxylin-eosine for Helicobacter pylori and Giemsa for Giardia lamblia. CP-test was also performed for Helicobacter and duodenal aspirate for giardiasis. RESULTS: The results indicates a high incidence of endoscopic and histopathology duodenitis in patients with giardiasis. The whitish spots on the erythematous duodenitis (60, 46%) and concentric ex-ulcerations (4, 16%) might be considered specific. On histology samples all the cases presented duodenitis, the first degree duodenitis was the most common (76, 63%). CONCLUSIONS: It is concluded that there are specific endoscopic and histopathology features of giardiasis.


Subject(s)
Duodenitis/diagnosis , Duodenitis/parasitology , Giardia lamblia , Giardiasis/diagnosis , Adult , Aged , Aged, 80 and over , Animals , Biopsy , Duodenitis/pathology , Duodenoscopy , Female , Giardiasis/parasitology , Giardiasis/pathology , Humans , Male , Middle Aged
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