ASGE Postgraduate Course at ACG: Evidence-based Updates for the Practicing Gastroenterologist (On-Demand) | October 2021 OLPGATACG21-4_Gutierrez_ASGE

4_Gutierrez_ASGE_Anticoagulation in endoscopy

Pdf Summary

This document provides an evidence-based approach to peri-procedural anticoagulation. The key considerations for determining the risk of thromboembolic events when stopping antithrombotic medication are outlined, as well as the common antithrombotic medications used for different medical conditions. The bleeding risk of procedures is also discussed, with recommendations for managing anticoagulation therapy during elective and urgent procedures. Specific guidance is provided for colonoscopy with polypectomy, including when to discontinue and resume anticoagulants and antiplatelets. The use of prophylactic clipping in polypectomy is also addressed. The document concludes with a summary of important points to consider when managing antithrombotic therapy during endoscopy procedures. Communication with the prescribing provider and the resumption of anticoagulant medication after achieving hemostasis are highlighted as crucial steps. Overall, the document emphasizes the importance of balancing the risk of bleeding with the risk of thromboembolic events and provides evidence-based recommendations for managing peri-procedural anticoagulation.

Keywords

peri-procedural anticoagulation

thromboembolic events

antithrombotic medication

bleeding risk

anticoagulation therapy

colonoscopy with polypectomy

prophylactic clipping

managing antithrombotic therapy

endoscopy procedures

risk management