RESUMEN
INTRODUCTION: The US Centers for Disease Control recommends hepatitis C virus (HCV) screening for baby boomers. Spain presents a similar distribution of infected patients. We performed a cross sectional prospective study to evaluate the prevalence of undiagnosed HCV infection in subjects born between 1949 and 1974. METHODS: All out-patients within the age range, both symptomatic and screening procedures, undergoing colonoscopy between December 2014 and June 2015 were offered a HCV antibody blood test and a survey including risk factors for HCV infection and attitude toward HCV screening. Patients with chronic HCV or with a previous negative HCV antibody test were excluded. RESULTS: A total of 570 subjects, 50% screening procedures, were analyzed. The median age was 55.7, 94.6% were born in Spain and 54.6% were women. Antibodies against HCV were found in 1.6% (95% CI: 0.8-3%) and HCV-RNA in 0.4% (0.1-1.3%). We found no statistically significant differences regarding HCV prevalence, risk factors or socioeconomic characteristics between subjects undergoing colorectal cancer screening and symptomatic subjects. CONCLUSION: Symptomatic and screening subjects undergoing colonoscopy support HCV screening and present a similar HCV risk profile. Results suggest linking colorectal and HCV screening would yield good results.
Asunto(s)
Actitud Frente a la Salud , Neoplasias Colorrectales/diagnóstico , Anticuerpos contra la Hepatitis C/sangre , Hepatitis C/diagnóstico , Tamizaje Masivo/métodos , Colonoscopía/métodos , Estudios Transversales , Detección Precoz del Cáncer/métodos , Femenino , Hepacivirus , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Pacientes Ambulatorios/estadística & datos numéricos , Estudios Prospectivos , ARN Viral/aislamiento & purificación , Factores de Riesgo , Estudios Seroepidemiológicos , España , Encuestas y CuestionariosRESUMEN
Inflammatory cloacogenic polyps are infrequent lesions that usually arise in the anorectal zone. The most common clinical presentation is rectal bleeding. Two cases of rectal bleeding related to cloacogenic polyps with different endoscopic appearance are reported. Endoscopists should be familiar with this entity, which should be considered in the differential diagnosis with other polypoid lesions observed in colonoscopy.
Asunto(s)
Pólipos Intestinales/diagnóstico , Enfermedades del Recto/diagnóstico , Adulto , Canal Anal , Colonoscopía , Diagnóstico Diferencial , Femenino , Hemorragia Gastrointestinal/etiología , HumanosRESUMEN
Los pólipos inflamatorios cloacogénicos son lesiones poco frecuentes, que suelen surgir en la zona anorrectal. La presentación clínica más frecuente es en forma de sangrado rectal. Se presentan 2 casos de pólipos cloacogénicos con distinto aspecto endoscópico y clínica de rectorragia. El endoscopista debe tener en cuenta la existencia de esta entidad y considerarla en el diagnóstico diferencial con otras lesiones polipoideas que se pueden observar en la colonoscopia
Inflammatory cloacogenic polyps are infrequent lesions that usually arise in the anorectal zone. The most common clinical presentation is rectal bleeding. Two cases of rectal bleeding related to cloacogenic polyps with different endoscopic appearance are reported. Endoscopists should be familiar with this entity, which should be considered in the differential diagnosis with other polypoid lesions observed in colonoscopy