Management of patients on antithrombotic agents undergoing emergency and elective endoscopy: joint Asian Pacific Association of Gastroenterology (APAGE) and Asian Pacific Society for Digestive Endoscopy (APSDE) practice guidelines

被引：139

作者：

Chan, Francis K. L. ^{[1
]}

Goh, Khean-Lee ^{[2
]}

Reddy, Nageshwar ^{[3
]}

Fujimoto, Kazuma ^{[4
]}

Ho, Khek Yu ^{[5
]}

Hokimoto, Seiji ^{[6
]}

Jeong, Young-Hoon ^{[7
,8
]}

Kitazono, Takanari ^{[9
]}

Lee, Hong Sik ^{[10
]}

Mahachai, Varocha ^{[11
]}

Tsoi, Kelvin K. F. ^{[12
]}

Wu, Ming-Shiang ^{[13
]}

Yan, Bryan P. ^{[14
]}

Sugano, Kentaro ^{[15
]}

机构：

[1] Chinese Univ Hong Kong, Dept Med & Therapeut, Hong Kong, Hong Kong, Peoples R China

[2] Univ Malaya, Dept Gastroenterol & Hepatol, Kuala Lumpur, Malaysia

[3] AAll India Inst Med Sci, Asian Healthcare Fdn, Hyderabad, Andhra Pradesh, India

[4] Saga Med Coll, Dept Internal Med & Gastrointestinal Endoscopy, Saga, Japan

[5] Natl Univ Singapore, Div Gastroenterol & Hepatol, Dept Med, Singapore, Singapore

[6] Kumamoto Univ, Grad Sch Med Sci, Dept Cardiovasc Med, Kumamoto, Japan

[7] Gyeongsang Natl Univ, Dept Internal Med, Sch Med, Gyeongsang, South Korea

[8] Cardiovasc Ctr, Gyeongsang, South Korea

[9] Kyushu Univ, Dept Clin Med, Fukuoka, Japan

[10] Korea Univ, Dept Gastroenterol, Coll Med, Seoul, South Korea

[11] Chulalongkorn Univ, Dept Med, Bangkok, Thailand

[12] Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Hong Kong, Hong Kong, Peoples R China

[13] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei, Taiwan

[14] Chinese Univ Hong Kong, Inst Vasc Res, Dept Med & Therapeut, Hong Kong, Hong Kong, Peoples R China

[15] Jichi Med Sch, Div Gastroenterol, Dept Med, Shimotsuke, Tochigi, Japan

来源：

GUT | 2018年 / 67卷 / 03期

关键词：

LOW-DOSE ASPIRIN; MOLECULAR-WEIGHT HEPARIN; WARFARIN-ASSOCIATED COAGULOPATHY; ACUTE CORONARY SYNDROMES; UPPER GASTROINTESTINAL HEMORRHAGE; NONVALVULAR ATRIAL-FIBRILLATION; PROTHROMBIN COMPLEX CONCENTRATE; INTERNATIONAL NORMALIZED RATIO; INHIBITOR DABIGATRAN ETEXILATE; RANDOMIZED CONTROLLED-TRIAL;

D O I：

10.1136/gutjnl-2017-315131

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

This Guideline is a joint official statement of the Asian Pacific Association of Gastroenterology (APAGE) and the Asian Pacific Society for Digestive Endoscopy (APSDE). It was developed in response to the increasing use of antithrombotic agents (antiplatelet agents and anticoagulants) in patients undergoing gastrointestinal (GI) endoscopy in Asia. After reviewing current practice guidelines in Europe and the USA, the joint committee identified unmet needs, noticed inconsistencies, raised doubts about certain recommendations and recognised significant discrepancies in clinical practice between different regions. We developed this joint official statement based on a systematic review of the literature, critical appraisal of existing guidelines and expert consensus using a two-stage modified Delphi process. This joint APAGE-APSDE Practice Guideline is intended to be an educational tool that assists clinicians in improving care for patients on antithrombotics who require emergency or elective GI endoscopy in the Asian Pacific region.

引用

页码：405 / 417

页数：13

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