Endoskopi Öncesi Hepatit B ve Hepatit C Testi Gerekli mi?

Year 2011, Volume: 8 Issue: 4, 137 - 139, 03.06.2012

Bahri Cakabay

Abstract

Amaç: Endoskopik ișlemler öncesi HBV ve HCV seroprevelansını belirlemek ve endoskopik ișlemler sırasında HepatitB ve HepatitC transmisyonunu değerlendirmek.

Materyal ve Metod: Mide Kanserinde Erken Tanı Pilot Projesi kapsamında üst gastrointestinal endoskopi uylanan toplam 2690 katılımcı bu çalıșmaya alındı. Katılımcıların tıbbi kayıtları, demografik özellikleri ve endoskobik tanıları gözden geçirildi. Endoskopik ișlem öncesi tüm katılımcıların HBsAg ve anti-HCV serolojileri çalıșıldı.

Bulgular: HBS(+) seroprevelansı %2.7,HCV(+) seroprevelansı %0.2 olarak bulundu. HBV enfeksiyon prevelansı orta endemisitede bulundu. HCV(+) oranı daha once endoskopi uygulanalarda daha yüksek bulundu (p = 0.020).

Sonuç: Endoskopi öncesi hastaların hepatit serolojilerinin belirlenmesi hepatit B ve Hepatit C virüs bulașmasından kaçınmak için faydalıdır.

Keywords

Hepatit B , Hepatit C , Transmisyon , Endoskopi

Is Pre-Endoscopy Hepatitis B and C Testing Useful?

Abstract

Objective: We determined the seroprevalence of HBV and HCV before endoscopic procedures and assessed transmission of hepatitis B and C viruses during endoscopic procedures.

Materials and Methods: In total, 2690 consecutive participants who underwent upper gastrointestinal endoscopy under the Early Diagnosis of Gastric Cancer Pilot Project were Their medical records, demographic properties, and endoscopic diagnoses were reviewed. HBsAg and anti-HCV serology of all participants was examined before endoscopic procedures.

Results: The seroprevalence of HBS(+) was 2.7% and of HCV(+) was 0.2%. The prevalence of HBV infection indicated intermediate endemicity. HCV(+) rates were higher in participants who had undergone endoscopy previously (p = 0.020).

Conclusion: Pre-endoscopy determination of hepatitis serology of patients is beneficial to avoid transmission of hepatitis B and C viruses

Keywords

Hepatitis B , Hepatitis C , Transmission , Endoscopy

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