[IDEN Consensus on Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy].

Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee
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Abstract

Antithrombotic agents, including antiplatelet agent and anticoagulants are widely used in Korea due to increasing incidence of cardio-cerebrovascular disease and aging population. The management of patients using antithrombotic agents during endoscopic procedures is an important clinical challenge. Clinical practice guideline regarding this issue which was developed by the Korean Society of Gastrointestinal Endoscopy was published in 2020. However, since then, new evidence has emerged for the use of dual antiplatelet therapy and direct anticoagulant management, and revised guidelines were issued in the US and Europe. Accordingly, the previous guidelines were revised, cardiologists also participated in the development group, and the recommendations went through a consensus process among international experts. This guideline presents 14 recommendations made according to the Grading of Recommendations, Assessment, Development, and Evaluation methodology, and was reviewed by multidisciplinary experts. This guideline provides useful information that can assist endoscopists in the management of patients on 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.

[IDEN关于消化内镜检查患者抗血栓药物管理的共识]。
由于心脑血管疾病发病率的增加和人口老龄化,抗血栓药物,包括抗血小板药物和抗凝剂在韩国被广泛使用。在内窥镜手术过程中如何管理使用抗血栓药物的患者是一项重要的临床挑战。韩国消化内镜学会于 2020 年发布了有关这一问题的临床实践指南。然而,自那以后,关于使用双重抗血小板疗法和直接抗凝管理的新证据不断涌现,美国和欧洲也发布了修订指南。因此,对之前的指南进行了修订,心脏病专家也参与了制定小组的工作,并在国际专家之间就建议达成了共识。本指南根据 "建议分级、评估、发展和评价 "方法提出了 14 项建议,并由多学科专家进行了审查。该指南提供了有用的信息,可帮助内镜医师管理使用抗血栓药物并需要进行诊断性和选择性治疗性内镜检查的患者。该指南将在必要时进行修订,以涵盖技术、证据或临床实践其他方面的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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