New Guidelines for the Use of Aspirin and Other NSAIDs During Endoscopy

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The American Society for Gastrointestinal Endoscopy has issued a new set of guidelines for using aspirin and other NSAID medications during endoscopic procedures.

the management of antithrombotic agents for endoscopy, aspirin and/or NSAIDs may be continued for all elective endoscopic procedures.” The guidelines cover three specific areas: elective endoscopic procedures in patients receiving anti-thrombotic therapy, endoscopic procedures in the acutely bleeding patient receiving anti-thrombotic therapy, and endoscopy in the patient with a vascular stent or ACS taking anti-thrombotic drugs.

The ASGE recommendations state, in regard to “

"Before performing endoscopic procedures on patients taking antithrombotic medications, one should consider the risks of stopping these medications versus the risk of a complication if the medications are continued,” said Jason A. Dominitz, MD, MHS, FASGE, chair of the ASGE Standards of Practice Committee. “But one must also consider the urgency of the procedure. Alternative diagnostic studies for patient evaluation, such as video capsule endoscopy or radiologic studies, may be appropriate in some cases."

Check out the complete list of guidelines

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The American Society for Gastrointestinal Endoscopy (ASGE) has issued a new set of guidelines for using aspirin and other NSAID medications during endoscopic procedures.

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