Periendoscopic management of antithrombotic drugs: Is cold snare polypectomy the answer?

IF 2.2 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Victor Argumánez, Gema Plumé, Marco Bustamante-Balén
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引用次数: 0

Abstract

Patients undergoing colonoscopy are increasingly taking antithrombotic medication. These patients, who are generally older, also have a higher prevalence of colon polyps. Therefore, it is general practice to modify or discontinue antithrombotic treatment before colonoscopy, to reduce the risk of post-polypectomy bleeding (PPB). However, this modification increases the risk of thrombotic events. Currently, the main clinical guidelines recommend cold-snare resection for polyps smaller than 10mm because of its better safety profile, especially in reducing post-polypectomy bleeding. This reduced PPB rate could open the door to maintaining antithrombotic drugs in patients undergoing colonoscopy. This review aims to evaluate the evidence available so far that may support a modification of current guidelines on the management of antithrombotic drugs in the periendoscopic period.

内镜周围抗血栓药物管理:冷鞘息肉切除术是答案吗?
接受结肠镜检查的患者越来越多地服用抗血栓药物。这些患者一般年龄较大,结肠息肉的发病率也较高。因此,一般的做法是在结肠镜检查前改变或停止抗血栓治疗,以降低息肉切除术后出血(PPB)的风险。然而,这种改变会增加血栓事件的风险。目前,主要的临床指南都建议对小于 10 毫米的息肉进行冷套管切除术,因为其安全性更好,尤其是在减少息肉切除术后出血方面。PPB 发生率的降低为结肠镜检查患者继续使用抗血栓药物打开了大门。本综述旨在评估目前已有的证据,这些证据可能会支持修改关于内镜周围时期抗血栓药物管理的现行指南。
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来源期刊
Gastroenterologia y hepatologia
Gastroenterologia y hepatologia GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
1.50
自引率
10.50%
发文量
147
审稿时长
48 days
期刊介绍: Gastroenterology and Hepatology is the first journal to cover the latest advances in pathology of the gastrointestinal tract, liver, pancreas, and bile ducts, making it an indispensable tool for gastroenterologists, hepatologists, internists and general practitioners.
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