Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment: 2017 Appendix on Anticoagulants Including Direct Oral Anticoagulants

Dig Endosc. 2018 Jul;30(4):433-440. doi: 10.1111/den.13184.

Abstract

In 2012, the Japan Gastroenterological Endoscopy Society published "Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment" concerning thromboembolism associated with antithrombotic therapy withdrawal. Since then, physicians have started prescribing oral anticoagulants, creating a need for standards reflecting their use in clinical practice. Therefore, new findings regarding anticoagulants are included in this appendix. However, the evidence levels are low for many statements contained herein and these appended guidelines still need to be verified in clinical settings.

Keywords: anticoagulant; antiplatelet; antithrombotic; gastrointestinal endoscopic examination and treatment; gastrointestinal hemorrhage.

Publication types

  • Letter
  • Review

MeSH terms

  • Administration, Oral
  • Delphi Technique
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Endoscopy, Gastrointestinal / adverse effects
  • Endoscopy, Gastrointestinal / standards*
  • Female
  • Fibrinolytic Agents / administration & dosage*
  • Fibrinolytic Agents / pharmacology
  • Gastrointestinal Hemorrhage / prevention & control
  • Humans
  • Injections, Subcutaneous
  • Japan
  • Male
  • Practice Guidelines as Topic*
  • Risk Assessment
  • Societies, Medical
  • Treatment Outcome

Substances

  • Fibrinolytic Agents