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ACG-CAG provided suggestions for periendoscopic management of anticoagulants and antiplatelets

David R Lichtenstein1, Neal D Dharmadhikari1

  • 1Boston University School of Medicine, Boston, Massachusetts, USA (D.R.L., N.D.D.).

Annals of Internal Medicine
|July 5, 2022
PubMed

Insights

This guideline provides recommendations for managing anticoagulant and antiplatelet medications during gastrointestinal bleeding and endoscopic procedures. It aims to reduce bleeding risk while considering thrombotic risks for patients.

Area of Science:

  • Gastroenterology
  • Clinical Practice Guidelines
  • Pharmacology

Background:

  • Acute gastrointestinal (GI) bleeding is a common medical emergency.
  • Management of anticoagulants and antiplatelets in patients with GI bleeding is complex.
  • Balancing bleeding risk and thrombotic risk is crucial.

Purpose of the Study:

  • To provide evidence-based recommendations for the management of anticoagulants and antiplatelets.
  • To guide clinicians during acute GI bleeding.
  • To inform decisions in the periendoscopic period.

Main Methods:

  • Systematic review of existing literature.
  • Development of clinical practice guidelines by expert consensus.
  • Formulation of recommendations based on risk-benefit analysis.

Main Results:

  • Specific strategies for continuing, holding, or bridging anticoagulants and antiplatelets.
  • Recommendations tailored to different types of GI bleeding and endoscopic procedures.
  • Emphasis on individualized patient assessment.

Conclusions:

  • The guideline offers a structured approach to managing antithrombotic therapy in GI bleeding.
  • Adherence to these recommendations can optimize patient outcomes.
  • These guidelines are essential for gastroenterologists and other healthcare providers.
Abstract

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