From clinical experience - Aspirin and endoscopy

Alexey Naimushin*, Avi Livneh

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

A patient with stable anginal syndrome, on aspirin, was admitted for colonoscopy, as part of a work-up for weight-loss and iron deficiency anemia. Should this patient discontinue aspirin prior to the colonoscopy? A literature review, as well as the current guidelines of the American Association for Gastrointestinal Endoscopy, did not support such an act. An Israeli physician survey, published recently, suggests an interesting attitude for this dilemma, in which the risk imposed on the patient by withdrawal of aspirin will determine whether to continue or stop the drug prior to the procedure. Such an approach may bridge the gap between the guidelines and the natural hesitation to perform minor endoscopic surgery under aspirin treatment.

Original languageEnglish
Pages (from-to)89-90
Number of pages2
JournalHarefuah
Volume147
Issue number1
StatePublished - Jan 2008
Externally publishedYes

Keywords

  • Aspirin
  • Bleeding
  • Endoscopy
  • Non steroidal anti-inflammatory drugs (NSAIDs)

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