New practice guidelines from the American College of Gastroenterology and Canadian Association of Gastroenterology (ACG-CAG) offer evidence-based recommendations to manage patients on antithrombotics experiencing acute gastrointestinal (GI) bleeding or who are undergoing elective endoscopy.
Published in the American Journal of Gastroenterology, the guideline focuses on four key aspects in common emergent and elective settings:
- Temporary interruption of anticoagulants and antiplatelets
- Reversal of anticoagulants and antiplatelets
- Periprocedural heparin bridging
- Postprocedural resumption of anticoagulants and antiplatelets