Publication:
Questionnaire-Based Survey on Gastrointestinal Bleeding and Management of Antithrombotic Agents during Endoscopy among Asian Countries

Issued Date

2018-03-01

Resource Type

Article

ISSN

14219867
00122823

DOI

10.1159/000484228

Other identifier(s)

2-s2.0-85041530454

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Digestion. Vol.97, No.1 (2018), 97-106

Suggested Citation

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 Questionnaire-Based Survey on Gastrointestinal Bleeding and Management of Antithrombotic Agents during Endoscopy among Asian Countries. Digestion. Vol.97, No.1 (2018), 97-106. doi:10.1159/000484228 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46930

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Title

Questionnaire-Based Survey on Gastrointestinal Bleeding and Management of Antithrombotic Agents during Endoscopy among Asian Countries

Author(s)

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

Other Contributor(s)

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

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.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/46930

Collections

Scopus 2018