International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy

Antithrombotic agents, including antiplatelet agents and anticoagulants, are widely used in Korea because of the increasing incidence of cardiocerebrovascular disease and the aging population. The management of patients using antithrombotic agents during endoscopic procedures is an important clinica...

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Main Authors: Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2024-03-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2024-002.pdf
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author Seung Joo Kang
Chung Hyun Tae
Chang Seok Bang
Cheol Min Shin
Young-Hoon Jeong
Miyoung Choi
Joo Ha Hwang
Yutaka Saito
Philip Wai Yan Chiu
Rungsun Rerknimitr
Christopher Khor
Vu Van Khien
Kee Don Choi
Ki-Nam Shim
Geun Am Song
Oh Young Lee
author_facet Seung Joo Kang
Chung Hyun Tae
Chang Seok Bang
Cheol Min Shin
Young-Hoon Jeong
Miyoung Choi
Joo Ha Hwang
Yutaka Saito
Philip Wai Yan Chiu
Rungsun Rerknimitr
Christopher Khor
Vu Van Khien
Kee Don Choi
Ki-Nam Shim
Geun Am Song
Oh Young Lee
author_sort Seung Joo Kang
collection DOAJ
description Antithrombotic agents, including antiplatelet agents and anticoagulants, are widely used in Korea because of the increasing incidence of cardiocerebrovascular disease and the aging population. The management of patients using antithrombotic agents during endoscopic procedures is an important clinical challenge. The clinical practice guidelines for this issue, developed by the Korean Society of Gastrointestinal Endoscopy, were published in 2020. However, new evidence on the use of dual antiplatelet therapy and direct anticoagulant management has emerged, and revised guidelines have been issued in the United States and Europe. Accordingly, the previous guidelines were revised. Cardiologists were part of the group that developed the guideline, and the recommendations went through a consensus-reaching process among international experts. This guideline presents 14 recommendations made based on the Grading of Recommendations, Assessment, Development, and Evaluation methodology and was reviewed by multidisciplinary experts. These guidelines provide useful information that can assist endoscopists in the management of patients receiving antithrombotic agents who require diagnostic and elective therapeutic endoscopy. It will be revised as necessary to cover changes in technology, evidence, or other aspects of clinical practice.
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spelling doaj.art-c516a3b3e78f4b7a9c3bfc77581b52342024-03-26T23:27:55ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432024-03-0157214115710.5946/ce.2024.0027883International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopySeung Joo Kang0Chung Hyun Tae1Chang Seok Bang2Cheol Min Shin3Young-Hoon Jeong4Miyoung Choi5Joo Ha Hwang6Yutaka Saito7Philip Wai Yan Chiu8Rungsun Rerknimitr9Christopher Khor10Vu Van Khien11Kee Don Choi12Ki-Nam Shim13Geun Am Song14Oh Young Lee15 Department of Internal Medicine, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea CAU Thrombosis and Biomarker Center, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong; Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, CA, USA Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Division of Upper GI and Metabolic Surgery, Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong Division of Gastroenterology, Department of Medicine, Chulalongkorn University, Bangkok, Thailand Department of Gastroenterology and Hepatology, Singapore General Hospital and Duke-NUS Medical School, Singapore, Singapore Departments of GI Endoscopy, 108 Central Hospital, Hanoi, Vietnam Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea Department of Internal Medicine, Pusan National University Hospital, Pusan National University College of Medicine and Biomedical Research Institute, Busan, Korea Department of Internal Medicine, Hanyang University School of Medicine, Seoul, KoreaAntithrombotic agents, including antiplatelet agents and anticoagulants, are widely used in Korea because of the increasing incidence of cardiocerebrovascular disease and the aging population. The management of patients using antithrombotic agents during endoscopic procedures is an important clinical challenge. The clinical practice guidelines for this issue, developed by the Korean Society of Gastrointestinal Endoscopy, were published in 2020. However, new evidence on the use of dual antiplatelet therapy and direct anticoagulant management has emerged, and revised guidelines have been issued in the United States and Europe. Accordingly, the previous guidelines were revised. Cardiologists were part of the group that developed the guideline, and the recommendations went through a consensus-reaching process among international experts. This guideline presents 14 recommendations made based on the Grading of Recommendations, Assessment, Development, and Evaluation methodology and was reviewed by multidisciplinary experts. These guidelines provide useful information that can assist endoscopists in the management of patients receiving antithrombotic agents who require diagnostic and elective therapeutic endoscopy. It will be revised as necessary to cover changes in technology, evidence, or other aspects of clinical practice.http://www.e-ce.org/upload/pdf/ce-2024-002.pdfanticoagulantsendoscopyguidelineplatelet aggregation inhibitors
spellingShingle Seung Joo Kang
Chung Hyun Tae
Chang Seok Bang
Cheol Min Shin
Young-Hoon Jeong
Miyoung Choi
Joo Ha Hwang
Yutaka Saito
Philip Wai Yan Chiu
Rungsun Rerknimitr
Christopher Khor
Vu Van Khien
Kee Don Choi
Ki-Nam Shim
Geun Am Song
Oh Young Lee
International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
Clinical Endoscopy
anticoagulants
endoscopy
guideline
platelet aggregation inhibitors
title International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
title_full International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
title_fullStr International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
title_full_unstemmed International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
title_short International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
title_sort international digestive endoscopy network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy
topic anticoagulants
endoscopy
guideline
platelet aggregation inhibitors
url http://www.e-ce.org/upload/pdf/ce-2024-002.pdf
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