Document Detail

Current practice in managing patients on anticoagulants and/or antiplatelet agents around the time of gastrointestinal endoscopy -- a nation-wide survey in Germany.
MedLine Citation:
PMID:  15558438     Owner:  NLM     Status:  MEDLINE    
Anticoagulants and antiplatelet agents are widely used in the prophylaxis and management of thromboembolic and cardiovascular diseases. Gastrointestinal bleeding is a well-known complication of these agents. Modification of anticoagulant and antiplatelet therapy is often required in patients undergoing surgical procedures and specific recommendations for the perioperative period have been issued. Fewer data exist with regard to the use of these agents around the time of endoscopic procedures. A survey of the American Society for Gastrointestinal Endoscopy (ASGE), performed several years ago, showed a wide variation between endoscopists in the management of anticoagulants and antiplatelet agents in the periendoscopic period. Subsequently, guidelines have been proposed by the ASGE as well as the German Society for Gastroenterology (DGVS). The aim of this study was to investigate the current practices among German endoscopists regarding the use of these medications in patients undergoing endoscopic procedures and to assess their adherence to published guidelines. Our data demonstrate that, in spite of the dissemination of guidelines, there is still a wide variation in the periendoscopic management of patients who are at increased risk for bleeding due to anticoagulants, especially in patients taking antiplatelet agents.
P Mosler; K Mergener; U Denzer; R Kiesslich; P R Galle; S Kanzler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Zeitschrift für Gastroenterologie     Volume:  42     ISSN:  0044-2771     ISO Abbreviation:  Z Gastroenterol     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-23     Completed Date:  2005-03-31     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0033370     Medline TA:  Z Gastroenterol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1289-93     Citation Subset:  IM    
I. Medizinische Klinik und Poliklinik der Johannes-Gutenberg-Universität Mainz, Germany.
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MeSH Terms
Anticoagulants / administration & dosage*,  adverse effects
Blood Coagulation Tests
Endoscopy, Gastrointestinal*
Gastrointestinal Hemorrhage / chemically induced,  prevention & control
Guideline Adherence / statistics & numerical data
Platelet Aggregation Inhibitors / administration & dosage*,  adverse effects
Reg. No./Substance:
0/Anticoagulants; 0/Platelet Aggregation Inhibitors

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