International Digestive Endoscopy Network Consensus on the 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,
the Korean Society of Gastrointestinal Endoscopy Task Force on Clinical Practice Guidelines
Affiliations
Seung Joo Kang
Department of Internal Medicine, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea
Chung Hyun Tae
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
Chang Seok Bang
Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
Cheol Min Shin
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
Young-Hoon Jeong
CAU Thrombosis and Biomarker Center, Chung-Ang University Gwangmyeong Hospital and Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea
Miyoung Choi
National Evidence-based Healthcare Collaborating Agency, Seoul, Korea
Joo Ha Hwang
Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University, Stanford, CA, USA
Yutaka Saito
Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan
Philip Wai Yan Chiu
Division of Upper GI and Metabolic Surgery, Department of Surgery, The Chinese University of Hong Kong, Hong Kong
Rungsun Rerknimitr
Division of Gastroenterology, Department of Medicine, Chulalongkorn University, Bangkok, Thailand
Christopher Khor
Department of Gastroenterology and Hepatology, Singapore General Hospital and Duke-NUS Medical School, Singapore
Vu Van Khien
Department of GI Endoscopy, 108 Central Hospital, Hanoi, Vietnam
Kee Don Choi
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Ki-Nam Shim
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
Geun Am Song
Department of Internal Medicine, Pusan National University Hospital, Pusan National University College of Medicine and Biomedical Research Institute, Busan, Korea
Oh Young Lee
Department of Internal Medicine, Hanyang University School of Medicine, Seoul, Korea
the Korean Society of Gastrointestinal Endoscopy Task Force on Clinical Practice Guidelines
Antithrombotic agents, including antiplatelet agents and anticoagulants, are widely used in Korea because of the increasing incidence of cardiocerebrovascular disease and the aging population. The management of patients using antithrombotic agents during endoscopic procedures is an important clinical challenge. The clinical practice guidelines for this issue, developed by the Korean Society of Gastrointestinal Endoscopy, were published in 2020. However, new evidence on the use of dual antiplatelet therapy and direct anticoagulant management has emerged, and revised guidelines have been issued in the United States and Europe. Accordingly, the previous guidelines were revised. Cardiologists were part of the group that developed the guideline, and the recommendations went through a consensus-reaching process among international experts. This guideline presents 14 recommendations made based on the Grading of Recommendations, Assessment, Development, and Evaluation methodology and was reviewed by multidisciplinary experts. These guidelines provide useful information that can assist endoscopists in the management of patients receiving 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.