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- Title
Antithrombotic therapy and assessment for bleeding diathesis in elective gastrointestinal endoscopy: Expert Opinion Statement on behalf of the Swiss Society of Gastroenterology.
- Authors
Wiegand, Nico; Geyer, Martin; Lollo, Gianluca; Wuillemin, Walter A.; Aepli, Patrick
- Abstract
The article deals with antithrombotic therapy and the evaluation of bleeding diathesis in elective gastrointestinal endoscopies. It discusses whether discontinuation of antithrombotic medication before the procedure is necessary and whether coagulation testing can reduce the risk of post-interventional bleeding. It is recommended to assess bleeding diathesis using a questionnaire and to perform coagulation testing in case of increased bleeding risk. The use of antithrombotic drugs and the challenges in managing these medications before and after endoscopic procedures are also discussed. The recommendations for therapy during endoscopic procedures were published in 2016 by American and European/British authorities. It is stated that clopidogrel does not significantly increase the risk of bleeding after colon polypectomy compared to acetylsalicylic acid. The current international guidelines support the recommendation to no longer interrupt antithrombotic drugs before polypectomy, unless it is a procedure with a high bleeding risk. The recommendations were developed in collaboration with an experienced hematologist and are based on current guidelines and recommendations from America, Europe, and the United Kingdom.
- Subjects
AMERICA; ASPIRIN; FIBRINOLYTIC agents; DISEASE susceptibility; POLYPECTOMY; HEMATOLOGISTS
- Publication
Praxis (16618157), 2023, Vol 112, Issue 13, p635
- ISSN
1661-8157
- Publication type
Article