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Title: Questionnaire-Based Survey on Gastrointestinal Bleeding and Management of Antithrombotic Agents during Endoscopy among Asian Countries
Authors: Nanae Tsuruoka
Ryuichi Iwakiri
Yasuhisa Sakata
Kazuma Fujimoto
Takeshi Kamiya
Takashi Joh
Kengo Tokunaga
Shin'Ichi Takahashi
Yoshikazu Kinoshita
Kazuhiko Uchiyama
Yuji Naito
Akihito Nagahara
Toshio Watanabe
Francis K.L. Chan
Ki Baik Hahm
Udom Kachintorn
Kwong Ming Fock
Ari Fahrial Syam
Abdul Aziz Rani
Jose D. Sollano
Qi Zhu
Juntendo University Shizuoka Hospital
Shanghai Jiao Tong University School of Medicine
University of Santo Tomas, Manila
University of Indonesia, RSUPN Dr. Cipto Mangunkusumo
Kyoto Prefectural University of Medicine
Shimane University
Nagoya City University
Kyorin University School of Medicine
Osaka City University
Changi General Hospital
Mahidol University
College of Medicine, Pochon CHA University
Saga Medical School
Chinese University of Hong Kong
Keywords: Medicine
Issue Date: 1-Mar-2018
Citation: Digestion. Vol.97, No.1 (2018), 97-106
Abstract: © 2018 S. Karger AG, Basel. Objective: Guidelines on the management of antithrombotic therapy for endoscopic procedures vary among countries. Differences in the management of antithrombotic agents for endoscopic procedures between Western and Eastern countries have already been reported. However, no study has investigated the differences among Asian countries. The aim of this study was to examine the differences in the etiology of gastrointestinal bleeding and management of antithrombotic agents during endoscopic procedures between Japan and other Asian countries (OAC). Methods: Questionnaires regarding gastrointestinal bleeding in clinical practice and management of antithrombotic agents during endoscopy were distributed to members of the International Gastroenterology Consensus Symposium Study Group. We analyzed the questionnaire answers and compared the results between Japan and OAC. Results: The cause of and treatment methods for gastrointestinal bleeding differed between Japan and OAC. In Japan, the trend was to continue drugs at the time of biopsy and endoscopic therapy. Even in cases of discontinuation, the drug withdrawal period was as short as <3 days. Thrombotic complications caused by the withdrawal of antithrombotic agents were observed more frequently in Japan (34.78%) than in OAC (22.46%; p = 0.016). Conclusion: Due to differences in guidelines and complications associated with discontinuation of drugs, the antithrombotic withdrawal period in Japan tended to be shorter than that in OAC.
ISSN: 14219867
Appears in Collections:Scopus 2018

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