What anaesthetists need to know about viral hepatitis

Lentschener, Claude; Ozier, Yves

doi:10.1034/j.1399-6576.2003.00154.x

Cited by 8 publications

(5 citation statements)

References 43 publications

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“…Viral hepatitin HBsAg ve anti-HBs ile tespit edilemediği pencere dönemi sağlık personeli ve hastalar için oldukça risklidir. Aktif hepatitli hastalardaki cerrahi işlemlerin morbidite ve mortaliteyi arttırması nedeniyle bu dönemde yapılacak elektif cerrahi işlemler ertelenmelidir (7). Bu çalışmada ürolojik cerrahi girişim planlanan hastalarda pencere döneminin sıklığını araştırılması amaçlandı.…”

Section: Discussionunclassified

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The Frequency of Window Period in Patients Scheduled for Urologic Surgery

Üyetürk¹,

Taş²,

Mengeloğlu³

et al. 2013

Turk J Bioch

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Sonuç: Hepatit B virus enfeksiyonlarının önlenmesi amacıyla aşılama programlarına önem verilmeli, kan ve kan ürünleri-nin transfüzyonları esnasında donörlerin hepatit markırları-na, pencere döneminde olup olmadıklarına özellikle dikkat edilmelidir. Yine cerrahi işlemler öncesi hastanın pencere döneminde olması hem sağlık personeli hem de hasta için önemli sonuçlara neden olabileceği için belki daha fazla hasta sayısı ile yapılacak olan prospektif çalışmalara ihtiyaç vardır.Objective: Hepatitis B virus (HBV) infection poses a risk to healthcare professionals. Acute viral hepatitis due to virus increases the perioperative morbidity and mortality in case of surgical treatment. Therefore, the elective surgical procedures should be delayed in patients during this period. The detection of hepatitis B surface antigen (HBsAg) is important in diagnosis. However, in the window period, HBsAg and HBeAg are lost and antibodies against the antigens don't reach the detectable levels, so hepatitis B core antibody (anti-HBc) IgM positivity is the only indicator of HBV infection in this period.In this study, we aimed to investigate the frequency of window period in patients scheduled for urologic surgery. Method: The patients, scheduled for surgery in our urology outpatient clinic between January 2009 -November 2012 period, were evaluated for, age, sex, and HBsAg and antiHBc IgM results, retrospectively. Results: During this period, 516 patients were evaluated, 441 (85.5%) of them were male and 75 (14.5%) were female. The average age of patients was 52.7 (1-88) years. There were HBsAg positivity in 20 patients (3.9%), whereas none of the patients were positive for anti-HBcIgM. Conclusion: Vaccination programs must be considered to prevent from Hepatitis B virus infections. Extra Care must be taken during transfusions of blood and blood products. Hepatitis markers and the window period must be investigated seriously. To be in window period, before the surgical procedures may has important consequences for patients and healthcare professionals and Furthermore studies with more patients numbers may be needed to done.

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Section: Discussionunclassified

“…Bu durum daha önce hepatit tanısı almış olanların donör olarak kan merkezine başvurmamalarından kaynaklanabileceği cerrahi planlanan hastaların ise daha rastlantısal bir grubu temsil etmesi nedeniyle pozitiflik oranının yüksek olduğu düşünüldü. (7).…”

Section: Discussionunclassified

The Frequency of Window Period in Patients Scheduled for Urologic Surgery

Üyetürk¹,

Taş²,

Mengeloğlu³

et al. 2013

Turk J Bioch

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“…In turn, infectious causes include viruses and parasites, and noninfectious causes include drugs and toxic substances. At the same time, the scientist clearly outlines the main symptoms of viral hepatitis, namely: (1) flu-like symptoms, (2) nausea, (3) vomiting, (4) fever, (5) abdominal pain, (6) loss of appetite, (7) fatigue, (8) joint pain, (9) rash, (10) diarrhea, (11) dark-colored urine, and (12) yellowing of the skin and eyes. Moreover, Rogers (2022) structured the types of viral hepatitis, in particular, mentioned that seven known hepatitis viruses are developing and rapidly spreading in the modern world: A, B, C, D, E, F, and G, among which hepatitis viruses of types A, E, and F are transmitted by ingestion of infected food or water and are most often observed in places of population concentration, where there are unsanitary conditions and large crowds of people.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Hepatitis viruses of types B, C, D, and G are transmitted through exposure to blood or other human fluids. Thottacherry and Felman [10] identify the significant impact of acute and chronic viral hepatitis on the human body. It is manifested in the disruption of processes of toxin elimination from the blood, vitamin storage, and the production of essential hormones.…”

Section: Literature Reviewmentioning

confidence: 99%

Untitled

2023

J. Med. Chem. Sci.

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Objective: The objective of this article is to study the theoretical and applied principles of the symptoms of acute and chronic viral hepatitis and the consequences of their impact on the human body. Materials and methods:The methodological basis of this study consists of various methods of scientific knowledge, including analysis, synthesis, scientific abstraction, analogy, comparison, graphical and tabular methods, generalization, and systematization. Results: The research reveals a significant impact of these forms of hepatitis on the human body, particularly leading to a decline in liver function and the development of associated conditions such as cirrhosis and liver cancer. The study also identifies the most common symptoms of acute and chronic viral hepatitis, including flu-like symptoms, nausea, vomiting, fever, abdominal pain, loss of appetite, fatigue, joint pain, rash, diarrhea, darkening of urine, and yellowing of the skin and eyes. These symptoms manifest at different stages of hepatitis, such as the incubation period, acute hepatitis, chronic hepatitis, cirrhosis, and liver cancer. Conclusion:The study proposes several preventive measures, including population immunization, adherence to personal hygiene practices and handwashing, access to clean water and sanitation facilities, safe food handling, sterilization and disinfection of items used by infected individuals, use of disposable syringes for injections and blood transfusion, and promotion of responsible sexual behavior. These measures can significantly contribute to the prevention and control of acute and chronic viral hepatitis, ultimately improving public health outcomes.

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“…As a result, the early stages of liver disease may produce only subtle evidence of dysfunction, but a dysfunction that can easily be transformed into fulminating failure by seemingly minor events including the stress of anaesthesia and surgery. Concomitant histories of alcohol abuse, viral hepatitis (especially hepatitis B) as well as metastasis of colorectal cancer are in practice the most common situations, which the surgeon should approach with respect [23].…”

Section: Hepatic Diseasementioning

confidence: 99%

Management of complications in surgery of the colon

Gmeiner

Pfeifer

2007

Eur Surg

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Zusammenfassung. Grundlagen: Allgemeinchirurgen sind in ihrer tä glichen Praxis hä ufig mit kolorektalen Erkrankungen konfrontiert, wobei Kolon-oder Rektumkarzinome in Ö sterreich mit nahezu 5000 Neuerkrankungen pro Jahr zu den hä ufigsten bö sartigen Erkrankungen zä hlen. Aber auch die Inzidenz gutartiger Kolonerkrankungen, die einer chirurgischen Therapie bedü rfen (z. B. Kolonpolypen, Sigmadivertikulitis), ist im Steigen begriffen. Das erste Ziel in der Darmchirurgie sollte es sein Komplikationen zu vermeiden; sind sie aber eingetreten, diese adä quat zu behandeln.Methodik: Wir unterscheiden allgemeine und spezielle Komplikationen. Bei den allgemeinen Komplikationen sind besonders das Vorbeugen von Mangelernä hrung und das Stä rken der Immunkompetenz zu nennen. Das in den letzten Jahren zunehmend ä ltere Patientengut zieht neben der Gefahr thrombembolischer Komplikationen mehr kritische Herz-Kreislaufsituationen, Nieren-und Leberfunktionsstö -rungen nach sich, die besonders zu beachten sind. Spezielle Komplikationen sind entweder vom Operationsverfahren (laparoskopisch assistiert oder offen konventionell) oder von der Operationstechnik (Klammern, hä ndisch) abhä ngig. Auch der Umgang mit dem Gewebe an sich (z. B. trockene versus feuchte OP-Tü cher) ist wichtig.Ergebnisse: Eine Verkü rzung des postoperativen Aufenthalts verringert neben der Spitalskosten auch die Infektionshä ufigkeit. Deshalb sind minimal invasive Eingriffe und postoperative ,,Fast Track''-Ernä hrung zu fö rdern. Darü ber hinaus sollten Notfallsoperationen tunlichst vermieden werden (z. B. durch Bridging mit Stents), da Morbiditä t und Mortalitä t deutlich erhö ht sind im Vergleich zu Elektiveingriffen. Bei der Operation selbst kö nnen neue Gerä te und Techniken (z. B. Ultracision + , Ligasure + ) sowie ein eingespieltes Operationsteam Komplikationen reduzieren und die Operation beschleunigen.Schlussfolgerungen: Vermeiden ist besser als Reparieren. Bei eingetretener Komplikation ist es aber wichtig, sofort die nö tigen chirurgischen und intensiv-therapeutischen Maßnahmen zu setzen.Schlü sselwö rter: Komplikation, Kolonchirurgie, Stent, Fast Track.Summary. Background: General surgeons are frequently confronted with colorectal diseases in their daily practice, whereby colorectal cancer is the second most common malignant tumour, with almost 5000 new cases every year in Austria. The incidence of benign colon disorders requiring surgery (e.g. colon polyps, sigmoid diverticulitis) is also increasing. The first aim in colon surgery should be to avoid complications and if they occur to treat them properly.Methods: We basically distinguish between general and special complications. As general complications, prevention of malnutrition and support of the immune system should receive special attention. As the number of elderly patients increases, so does the risk not only of thrombembolic complications but also of critical cardiocirculatory situations, and renal and hepatic failure. Special complications depend either on the type of surgery (laparoscopic...

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What anaesthetists need to know about viral hepatitis

Abstract: Anaesthetists are likely to play a key role in immediate acute hepatitis and chronic hepatitis perioperative assessment and care.

Cited by 8 publications

References 43 publications

The Frequency of Window Period in Patients Scheduled for Urologic Surgery

The Frequency of Window Period in Patients Scheduled for Urologic Surgery

Untitled

Management of complications in surgery of the colon

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