Resumen

PRIETO ORTIZ, Robin Germán et al. The Current View of Endoscopic procedures and Antithrombotic Therapies. Rev Col Gastroenterol [online]. 2017, vol.32, n.2, pp.150-159. ISSN 0120-9957.  https://doi.org/10.22516/25007440.142.

In recent years, treatment of pathologies related to hypercoagulation has advanced significantly as the result of the use of old and new drugs. In addition, significant advances have been achieved in diagnostic and therapeutic methods in digestive endoscopy. On the other hand, the life expectancy of the world population has increased considerably, so gastroenterologists must perform endoscopic procedures more frequently in older patients who present comorbidities for which they receive antithrombotic therapies, especially for cardiovascular diseases.

Many treatment guides produced by important medical associations are available. They are oriented to the performance of endoscopic procedures in patients undergoing antithrombotic therapies. These patients are at risk of bleeding during or after these procedures, and they are at risk of thrombosis when medication is suspended. Nevertheless, no prospective or controlled studies have been performed to guide formulation of protocols for the various diagnostic and therapeutic endoscopic techniques that might be used for these patients. Gastroenterologists must balance the risks of bleeding and embolism to determine the most appropriate time to perform an endoscopic procedure in these patients. Therefore, it is of great importance that you have knowledge of this topic.

We present an updated review of the literature and the most recent recommendations of the European society of gastroenterology.

Palabras clave : Antithrombotic therapy; digestive endoscopy; antiplatelet drug (antiaggregant); anticoagulants.

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