Intestinal helminthic infections: a narrative review to guide the hepatogastroenterologist

Acta Gastroenterol Belg. 2023 Jul-Sep;86(3):460-473. doi: 10.51821/86.3.11895.

Abstract

Intestinal helminthic infections are not uncommon in Western Europe, mainly due to modern travel, emigration and globalization. Moreover, some helminthic infections are endemic in Western Europe and are part of the everyday clinical practice. The hepatogastroenterologist should therefore recognize and manage these patients or at least refer them to appropriate reference centers. Signs and symptoms are often unspecific or even absent. Discerning the disease at an early stage avoids expensive diagnostic testing, life-threatening complications and in some cases even further spread of the disease. This review article aims to guide the hepatogastroenterologist when suspecting a helminthic infection by addressing the most prevalent symptoms, summarizing the most probable associated helminthic entities, highlighting practical steps in diagnosis and available treatments.

Keywords: diagnosis; epidemiology; gastrointestinal; management; worms.

Publication types

  • Review

MeSH terms

  • Europe
  • Helminthiasis* / complications
  • Helminthiasis* / diagnosis
  • Helminthiasis* / epidemiology
  • Humans
  • Intestinal Diseases, Parasitic* / complications
  • Intestinal Diseases, Parasitic* / diagnosis
  • Travel

Supplementary concepts

  • Intestinal helminthiasis