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Author Topic: Colonoscopy after EOT but before SVR12?  (Read 5560 times)

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Offline elias

  • Member
  • Posts: 285
Colonoscopy after EOT but before SVR12?
« on: March 04, 2017, 09:08:54 pm »
Hi:

I'm 7 weeks after completing Epclusa. So only 5 more weeks to wait for SVR12. I had been found undetected at EOT+4 Weeks.

My Gastro noted I was way overdue for a colonoscopy and suggested I book for one. However, I said I'd like to postpone it till after this ordeal is over at EOT+12 weeks. I gave him no reason why I wanted to postpone till April.

There was concern on my part that since the viral clearance  or other internal adjustments might still somehow be going on, even 7 weeks off the Epclusa, it might make sense to not interfere with this clearing by such a complex procedure. It involves prepping by laxatives the day before, sedation during the procedure, and removal of polyps, etc. found during the colonoscopy.

Question:  Are my concerns above-about risking SVR 12 at this point in the treatment- in any conceivable way- reasonable?  After all that I've been through to get this far with HCV clearance, I don't in any way want to jeopardize the process by such an invasive procedure. And it's only 5 weeks more to (hopefully) SVR...

But part of me wants to get the unpleasantries of the colonoscopy over and done with before SVR 12 So I can truly feel a sense of relief when I get the SVR 12 report.

So I'm in a quandary as to whether to have this procedure done now rather than in another few weeks. My reasoning for considering postponing is that since viral relapse can still occur up until 12 weeks post EOT, it suggests that viral clearance might somehow still be going on, possibly  via host-immune system? I'm wary of interfering with that process

 Ideas?
« Last Edit: March 04, 2017, 09:49:14 pm by elias »
Contracted HCV ~age 12
Diagnosed: September 2016 GT2b
F3 by Fibrosure: 0.66
Necroinflammat activity: A3 0.76
================
VL Sep. 12, 2016: 1.44 million/ Log: 6.157
AST:71/ ALT:114   Sept. 1, 2016 Before treatment
==================
4 week after beginning  Epclusa:
Viral Load: UNDETECTED
AST 17/ALT 11
===============
Began Epclusa:  October 22, 2016
End of Treatment [EOT]: January 13. 2017
====================
EOT+4 Weeks: UNDETECTED
====================
SVR 12 April14-HCV Not Detected

Offline Lynn K

  • Global Moderator
  • Member
  • Posts: 4,545
  • Get tested, get treated, get cured, fight Hep c!
Re: Colonoscopy after EOT but before SVR12?
« Reply #1 on: March 06, 2017, 07:25:21 pm »
Colonoscopy does not change what is going on with the virus. There is nothing you can do to cause a relapse. I had my annual upper endoscopy while on treatment.

The only risk would be an entirely new infection but that very low risk would exist anytime you undergo any procedure.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

 


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