The risk of type B hepatitis infection in flexible fiberoptic endoscopy

Gastrointest Endosc. 1981 May;27(2):60-2. doi: 10.1016/s0016-5107(81)73150-x.

Abstract

In Nigeria, where the carrier rate of hepatitis B antigen (HBsAg) is between 5 and 10%, it must be assumed that the instrument used for upper gastrointestinal endoscopy has had contact with an HBsAg-positive patient. The risk of type B hepatitis transmission via upper gastrointestinal endoscopy was evaluated, therefore, in 61 patients who were followed for 1 year after the procedure. Four of these patients were "carriers" of HBsAg. None of the study group developed jaundice or hepatomegaly during the follow-up period. In 21 patients, serial liver function tests and screening for HBsAg were obtained. None of the 19 seronegative patients developed abnormal liver function tests or converted to HBsAg-positive. It is concluded that, while transmission of HBsAg is theoretically possible, the risk appears minimal. HBsAg positivity should not be a contraindication, therefore, in patients who need endoscopic assessment for definitive management.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Duodenoscopy / adverse effects*
  • Female
  • Fiber Optic Technology
  • Gastroscopy / adverse effects*
  • Hepatitis B / diagnosis
  • Hepatitis B / etiology*
  • Hepatitis B / transmission
  • Hepatitis B Surface Antigens / analysis
  • Humans
  • Male
  • Middle Aged

Substances

  • Hepatitis B Surface Antigens