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Management of anticoagulation before and after gastrointestinal endoscopy

American Journal of Gastroenterology, ISSN: 0002-9270, Vol: 104, Issue: 12, Page: 3085-3097
2009
  • 60
    Citations
  • 0
    Usage
  • 62
    Captures
  • 0
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    60
    • Citation Indexes
      55
    • Policy Citations
      3
      • Policy Citation
        3
    • Clinical Citations
      2
      • PubMed Guidelines
        2
  • Captures
    62

Review Description

The management of anticoagulants and antiplatelet agents in patients undergoing gastrointestinal endoscopic procedures is a common clinical problem. Although guidelines have been published, they are supported by little prospective or randomized trial data, but are primarily based on observational studies, expert opinion, and best clinical practices. As a general principle, the risks of thromboembolism need to be balanced against the risks of bleeding during the endoscopic procedure. By understanding these risks, management plans for individual cases may be made. This article reviews the current data and guidelines on the management of anticoagulants, antiplatelet agents, use of reversal agents, and the role and risks of concomitant proton pump inhibitors. © 2009 by the American College of Gastroenterology.

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