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

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

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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 10 mm 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. (c) 2024 Elsevier Espana, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Copyright © 2024 Elsevier España, S.L.U. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
0210-5705, 0210-5705

Gastroenterologia y Hepatologia  ELSEVIER ESPANA SLU

Tipo:
Review
Páginas:
502286-502286
PubMed:
39549819
Enlace a otro recurso:
www.scopus.com
Factor de Impacto:
0,280 SCImago ℠
Cuartil:
Q3 SCImago ℠

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Keywords

  • Cold snare polypectomy; Hot snare polypectomy; Post-polypectomy bleeding; Delayed post-polypectomy bleeding; Antithrombotic drugs; Colorectal polyp; Cold snare endoscopic mucosal resection; Adverse events

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