Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents
The use of antiplatelet and antithrombotic agents has increased hand in hand with the number and complexity of endoscopic procedures. Hence, the endoscopists are often faced with considering endoscopy in patients on these agents. In this setting, to make informed decision, four key aspects are need...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-01-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_10_19 |
| _version_ | 1818136016754573312 |
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| author | Partha Pal Manu Tandan Duvvuru Nageshwar Reddy |
| author_facet | Partha Pal Manu Tandan Duvvuru Nageshwar Reddy |
| author_sort | Partha Pal |
| collection | DOAJ |
| description | The use of antiplatelet and antithrombotic agents has increased hand in hand with the number and complexity of endoscopic procedures. Hence, the endoscopists are often faced with considering endoscopy in patients on these agents. In this setting, to make informed decision, four key aspects are need to be considered. The type of antithrombotic or antiplatelet agent used and its characteristics, risk of thromboembolic events (which can lead to ischemic stroke or acute coronary syndrome, both of which carry high morbidity) due to withholding the drug, risk of bleeding (increases with invasiveness of procedure), and timing of procedure (elective or urgent) are the key factors to consider. We aim to discuss the risk of gastrointestinal bleed and endoscopic procedures on antiplatelet and antithrombotic agents focusing on Indian context based on recent Asia?pacific guidelines along with other existing guidelines. |
| first_indexed | 2024-12-11T09:33:42Z |
| format | Article |
| id | doaj.art-fd0c7ca7d58e4c5c9dd4d8b9ff80fe58 |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-11T09:33:42Z |
| publishDate | 2019-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-fd0c7ca7d58e4c5c9dd4d8b9ff80fe582022-12-22T01:12:57ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502019-01-01100101102010.4103/jde.JDE_10_19Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic AgentsPartha Pal0Manu Tandan1Duvvuru Nageshwar Reddy2Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, IndiaDepartment of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, IndiaDepartment of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, IndiaThe use of antiplatelet and antithrombotic agents has increased hand in hand with the number and complexity of endoscopic procedures. Hence, the endoscopists are often faced with considering endoscopy in patients on these agents. In this setting, to make informed decision, four key aspects are need to be considered. The type of antithrombotic or antiplatelet agent used and its characteristics, risk of thromboembolic events (which can lead to ischemic stroke or acute coronary syndrome, both of which carry high morbidity) due to withholding the drug, risk of bleeding (increases with invasiveness of procedure), and timing of procedure (elective or urgent) are the key factors to consider. We aim to discuss the risk of gastrointestinal bleed and endoscopic procedures on antiplatelet and antithrombotic agents focusing on Indian context based on recent Asia?pacific guidelines along with other existing guidelines.http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_10_19 antiplatelets antithrombotic agents endoscopy gastrointestinal bleeding |
| spellingShingle | Partha Pal Manu Tandan Duvvuru Nageshwar Reddy Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents Journal of Digestive Endoscopy antiplatelets antithrombotic agents endoscopy gastrointestinal bleeding |
| title | Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents |
| title_full | Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents |
| title_fullStr | Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents |
| title_full_unstemmed | Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents |
| title_short | Risk of Gastrointestinal Bleed and Endoscopic Procedures on Antiplatelet and Antithrombotic Agents |
| title_sort | risk of gastrointestinal bleed and endoscopic procedures on antiplatelet and antithrombotic agents |
| topic | antiplatelets antithrombotic agents endoscopy gastrointestinal bleeding |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_10_19 |
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