Management of antiplatelet or anticoagulant therapy in endoscopy: A review of literature

作     者：Marcello Maida Sandro Sferrazza Carlo Maida Gaetano Cristian Morreale Alessandro Vitello Giovanni Longo Vincenzo Garofalo Emanuele Sinagra 

作者机构：Gastroenterology and Endoscopy UnitS.Elia-Raimondi HospitalCaltanissetta 93100Italy Gastroenterology and Endoscopy UnitSanta Chiara HospitalTrento 38123Italy U.O.C di Medicina Interna con Stroke CareDipartimento di Promozione della SaluteMaterno-Infantiledi Medicina Interna e Specialistica di Eccellenza“G.D’Alessandro”University of PalermoPalermo 93100Italy Cardiology UnitS.Elia-Raimondi HospitalCaltanissetta 93100Italy Gastroenterology and Endoscopy UnitIstituto San Raffaele GiglioCefalu 90015Italy 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2020年第12卷第6期

页      面：172-192页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Antiplatelet Anticoagulant Endoscopy Management Bleeding Risk 

摘      要：Endoscopic procedures hold a basal risk of bleeding that depends on the type of procedure and patients’***,they are often performed in patients taking antiplatelet and anticoagulants agents,increasing the potential risk of intraprocedural and delayed *** if the interruption of antithrombotic therapies is undoubtful effective in reducing the risk of bleeding,the thromboembolic risk that follows their suspension should not be ***,it is fundamental for each endoscopist to be aware of the bleeding risk for every procedure,in order to measure the risk-benefit ratio for each ***,knowledge of the proper management of antithrombotic agents before endoscopy,as well as the adequate timing for their resumption is *** review aims to analyze current evidence from literature assessing,for each procedure,the basal risk of bleeding and the risk of bleeding in patients taking antithrombotic therapy,as well as to review the recommendation of American society for gastrointestinal endoscopy,European society of gastrointestinal endoscopy,British society of gastroenterology,Asian pacific association of gastroenterology and Asian pacific society for digestive endoscopy guidelines for the management of antithrombotic agents in urgent and elective endoscopic procedures.