Position statement from the Indian Society of Gastroenterology, Cardiological Society of India, Indian Academy of Neurology and Vascular Society of India on gastrointestinal bleeding and endoscopic procedures in patients on antiplatelet and/or anticoagulant therapy
Abstract:Antiplatelet and/or anticoagulant agents (collectively known as antithrombotic agents) are used to reduce the risk of thromboembolic events in patients with conditions such as atrial fibrillation, acute coronary syndrome, recurrent stroke prevention, deep vein thrombosis, hypercoagulable states and endoprostheses. Antithrombotic-associated gastrointestinal (GI) bleeding is an increasing burden due to the growing population of advanced age with multiple comorbidities and the expanding indications for the use of… Show more
“…Considering that many of the patients with vascular diseases (IHD, stroke) are the elderly and that stopping the drugs may cause worsening morbidity of the primary disease, it is imperative that specialists from various disciplines come together to make guidelines for diseases that require multidisciplinary management. Arora et al have published the guidelines from multiple societies for the management of patients on antiplatelet drugs with GI bleed [3]. The guidelines include statements for indications to stop the incriminating drugs as well as when to resume therapy after the endoscopic procedures and endoscopic therapies that have a high risk of bleeding.…”
Section: Position Statement From the Indian Society Of Gastroenterolo...mentioning
“…Considering that many of the patients with vascular diseases (IHD, stroke) are the elderly and that stopping the drugs may cause worsening morbidity of the primary disease, it is imperative that specialists from various disciplines come together to make guidelines for diseases that require multidisciplinary management. Arora et al have published the guidelines from multiple societies for the management of patients on antiplatelet drugs with GI bleed [3]. The guidelines include statements for indications to stop the incriminating drugs as well as when to resume therapy after the endoscopic procedures and endoscopic therapies that have a high risk of bleeding.…”
Section: Position Statement From the Indian Society Of Gastroenterolo...mentioning
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