Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents

被引：0
作者：
Pal, Partha [1 ]
Tandan, Manu [1 ]
Reddy, Duvvuru Nageshwar [1 ]
机构：
[1] Asian Inst Gastroenterol, Dept Med Gastroenterol, 6-3-661 Somajiguda, Hyderabad, Telangana, India
来源：
JOURNAL OF DIGESTIVE ENDOSCOPY | 2019年 / 10卷 / 01期
关键词：
Antiplatelets; antithrombotic agents; endoscopy; gastrointestinal bleeding; PERCUTANEOUS CORONARY INTERVENTION; MUCOSAL RESECTION; EUROPEAN-SOCIETY; THERAPY; DABIGATRAN; ANTICOAGULATION; CLOPIDOGREL; HEMORRHAGE; MANAGEMENT; SINGLE;
D O I：
10.4103/jde.JDE_10_19
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
The use of antiplatelet and antithrombotic agents has increased hand in hand with the number and complexity of endoscopic procedures. Hence, the endoscopists are often faced with considering endoscopy in patients on these agents. In this setting, to make informed decision, four key aspects are need to be considered. The type of antithrombotic or antiplatelet agent used and its characteristics, risk of thromboembolic events (which can lead to ischemic stroke or acute coronary syndrome, both of which carry high morbidity) due to withholding the drug, risk of bleeding (increases with invasiveness of procedure), and timing of procedure (elective or urgent) are the key factors to consider. We aim to discuss the risk of gastrointestinal bleed and endoscopic procedures on antiplatelet and antithrombotic agents focusing on Indian context based on recent Asia-pacific guidelines along with other existing guidelines.
引用
收藏
页码：11 / 20
页数：10
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