Management of anticoagulation before and after gastrointestinal endoscopy

Avelyn Kwok, Douglas O. Faigel

Research output: Contribution to journalReview articlepeer-review

46 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)3085-3097
Number of pages13
JournalAmerican Journal of Gastroenterology
Volume104
Issue number12
DOIs
StatePublished - Dec 1 2009

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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