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Management of patients on antithrombotic agents undergoing emergency and elective endoscopy: joint Asian Pacific Association of Gastroenterology (APAGE) and Asian Pacific Society for Digestive Endoscopy (APSDE) practice guidelines

Chan FKL 1 , Goh KL 2 , Reddy N 3 , Fujimoto K 4 , Ho KY 5 , Hokimoto S 6 Show all authors , Jeong YH 7 , Kitazono T 8 , Lee HS 9 , Mahachai V 10 , Tsoi KKF 11 , Wu MS 12 , Yan BP 13 , Sugano K 14

Affiliations 

  • 1 Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
  • 2 Department of Gastroenterology and Hepatology, University of Malaya, Kuala Lumpur, Malaysia
  • 3 Asian Healthcare Foundation, AAll India Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India
  • 4 Department of Internal Medicine and Gastrointestinal Endoscopy, Saga Medical College, Saga, Japan
  • 5 Division of Gastroenterology and Hepatology, Department of Medicine, National University Singapore, Singapore, Singapore
  • 6 Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • 7 Department of Internal Medicine, Gyeongsang National University School of Medicine and Cardiovascular Center, Gyeongsang, Republic of Korea
  • 8 Department of Clinical Medicine, Kyushu University, Fukuoka, Japan
  • 9 Department of Gastroenterology, Korea University College of Medicine, Seoul, Republic of Korea
  • 10 Department of Medicine, Chulalongkorn University, Bangkok, Thailand
  • 11 Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
  • 12 Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • 13 Department of Medicine and Therapeutics, Institute of Vascular Research, The Chinese University of Hong Kong, Hong Kong, China
  • 14 Department of Medicine, Division of Gastroenterology, Jichi Medical School, Tochigi, Japan
Gut, 2018 03;67(3):405-417.
PMID: 29331946 DOI: 10.1136/gutjnl-2017-315131

Abstract

This Guideline is a joint official statement of the Asian Pacific Association of Gastroenterology (APAGE) and the Asian Pacific Society for Digestive Endoscopy (APSDE). It was developed in response to the increasing use of antithrombotic agents (antiplatelet agents and anticoagulants) in patients undergoing gastrointestinal (GI) endoscopy in Asia. After reviewing current practice guidelines in Europe and the USA, the joint committee identified unmet needs, noticed inconsistencies, raised doubts about certain recommendations and recognised significant discrepancies in clinical practice between different regions. We developed this joint official statement based on a systematic review of the literature, critical appraisal of existing guidelines and expert consensus using a two-stage modified Delphi process. This joint APAGE-APSDE Practice Guideline is intended to be an educational tool that assists clinicians in improving care for patients on antithrombotics who require emergency or elective GI endoscopy in the Asian Pacific region.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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