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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Published inGut and liver Vol. 18; no. 5; pp. 764 - 780
Main Authors Kang, Seung Joo, Tae, Chung Hyun, Bang, Chang Seok, Shin, Cheol Min, Jeong, Young-Hoon, Choi, Miyoung, Hwang, Joo Ha, Saito, Yutaka, Chiu, Philip Wai Yan, Rerknimitr, Rungsun, Khor, Christopher, Khien, Vu Van, Choi, Kee Don, Shim, Ki-Nam, Song, Geun Am, Lee, Oh Young
Format Journal Article
LanguageEnglish
Published Korea (South) Editorial Office of Gut and Liver 01.09.2024
Gastroenterology Council for Gut and Liver
거트앤리버 소화기연관학회협의회
Subjects
anticoagulants
endoscopy
guideline
platelet aggregation inhibitors
Review
내과학
Anticoagulants
Guideline
Platelet aggregation inhibitors
Endoscopy
Online AccessGet full text
ISSN1976-2283
2005-1212
2005-1212
DOI10.5009/gnl240176

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Abstract 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.
AbstractList 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.
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. KCI Citation Count: 1
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.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.
Author Saito, Yutaka
Kang, Seung Joo
Choi, Kee Don
Jeong, Young-Hoon
Shim, Ki-Nam
Lee, Oh Young
Tae, Chung Hyun
Shin, Cheol Min
Bang, Chang Seok
Chiu, Philip Wai Yan
Khien, Vu Van
Hwang, Joo Ha
Choi, Miyoung
Khor, Christopher
Rerknimitr, Rungsun
Song, Geun Am
AuthorAffiliation 12 Department of GI Endoscopy, 108 Central Hospital, Hanoi, Vietnam
3 Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
11 Department of Gastroenterology and Hepatology, Singapore General Hospital and Duke-NUS Medical School, Singapore
13 Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
7 Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, CA, USA
9 Division of Upper GI and Metabolic Surgery, Department of Surgery, The Chinese University of Hong Kong, Hong Kong
14 Department of Internal Medicine, Pusan National University Hospital, Pusan National University College of Medicine and Biomedical Research Institute, Busan, Korea
15 Department of Internal Medicine, Hanyang University School of Medicine, Seoul, Korea
6 National Evidence-based Healthcare Collaborating Agency, Seoul, Korea
10 Division of Gastroenterology, Department of Medicine, Chulalongkorn U
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  givenname: Oh Young
  orcidid: 0000-0002-6025-530X
  surname: Lee
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  organization: Department of Internal Medicine, Hanyang University School of Medicine, Seoul, Korea
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Issue 5
Keywords Anticoagulants
Guideline
Platelet aggregation inhibitors
Endoscopy
Language English
License This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Seung Joo Kang and Chung Hyun Tae contributed equally to this work as first authors.
This guideline is co-published in the Gut and Liver and the Clinical Endoscopy to facilitate distribution.
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Snippet Antithrombotic agents, including antiplatelet agents and anticoagulants, are widely used in Korea because of the increasing incidence of cardiocerebrovascular...
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SubjectTerms anticoagulants
endoscopy
guideline
platelet aggregation inhibitors
Review
내과학
Title International Digestive Endoscopy Network Consensus on the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
URI https://www.ncbi.nlm.nih.gov/pubmed/39223080
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