Management of Antithrombotic Drugs in Digestive Endoscopy

Abstract

Summary: The endoscopic management of patients under antithrombotic treatment implies several factors related to the patient and the endoscopic procedure, an assessment of the bleeding and thrombotic risk is primordial in the admission, the day of the endoscopy an adjustment of the procedure equipment may be proposed according to the estimated bleeding risk, the post endoscopic management consist of discussing the resumption of treatment according to the bleeding and thrombosis risk without forgetting to educate the patient about the risk of bleeding, which may be delayed after the endoscopy, sometimes requiring reassessment in consultation or even hospitalization to monitor the progress.