Anticoagulation and antiplatelet management in gastrointestinal endoscopy: A review of current evidence
作者机构：Department of GastroenterologyLyell McEwin HospitalAdelaide 5112South AustraliaAustralia School of MedicineThe University of AdelaideAdelaide 5005Australia
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11期
页 面：408-450页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Endoscopy Anticoagulants Antiplatelets Antithrombotics Bleeding Gastrointestinal
摘 要：The role of endoscopic procedures,in both diagnostic and therapeutic purposes is continually expanding and evolving *** this context,endoscopists will encounter patients prescribed on anticoagulant and antiplatelet medications *** poses an increased risk of intraprocedural and delayed gastrointestinal ***,there is now greater importance on optimal pre,peri and post-operative management of anticoagulant and/or antiplatelet therapy to minimise the risk of post-procedural bleeding,without increasing the risk of a thromboembolic event as a consequence of therapy ***,there are position statements and guidelines from the major gastroenterology *** are available to assist endoscopists with an evidenced-based systematic approach to anticoagulant and/or antiplatelet management in endoscopic procedures,to ensure optimal patient ***,since the publication of these guidelines,there is emerging evidence not previously considered in the recommendations that may warrant changes to our current clinical *** notably and divergent from current position statements,is a growing concern regarding the use of heparin bridging therapy during warfarin cessation and its associated risk of increased bleeding,suggestive that this practice should be *** addition,there is emerging evidence that anticoagulant and/or antiplatelet therapy may be safe to be continued in cold snare polypectomy for small polyps(10 mm).
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