Endoscopy and antiplatelet agents. European Society of Gastrointestinal Endoscopy (ESGE) Guideline.

Abstract:

:With the increasing use of antiplatelet agents (APA), their management during the periendoscopic period has become a more common and more difficult problem. The increase in use is due to the availability of new drugs and the widespread use of drug-eluting coronary stents. Acute coronary syndromes can occur when APA therapy is withheld for noncardiovascular interventions. Guidelines about APA management during the periendoscopic period are traditionally based on assessments of the procedure-related risk of bleeding and the risk of thrombosis if APA are stopped. New data allow better assessment of these risks, of the necessary duration of APA discontinuation before endoscopy, of the use of alternative procedures (mostly for endoscopic retrograde cholangiopancreatography [ERCP]), and of endoscopic methods that can be used to prevent bleeding (following colonic polypectomy). This guideline makes graded, evidence-based, recommendations for the management of APA for all currently performed endoscopic procedures. A short summary and two tables are included for quick reference.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Boustière C,Veitch A,Vanbiervliet G,Bulois P,Deprez P,Laquiere A,Laugier R,Lesur G,Mosler P,Nalet B,Napoleon B,Rembacken B,Ajzenberg N,Collet JP,Baron T,Dumonceau JM,European Society of Gastrointestinal Endoscopy.

doi

10.1055/s-0030-1256317

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

445-61

issue

5

eissn

0013-726X

issn

1438-8812

journal_volume

43

pub_type

杂志文章,实务指引
  • Setting up a quality assurance program in endoscopy.

    abstract:BACKGROUND:Both patients and government demand proof of quality of care and value for money. Our unit ist in a large teaching hospital, performing over 6000 procedures per year. We have designed and implemented a Quality Assurance (QA) program, the basis of which we believe could be a model for endoscopy QA. METHODS:A...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-41508

    authors: Naylor G,Gatta L,Butler A,Duffet S,Wilcox M,Axon AT,O'Mahony S

    更新日期:2003-08-01 00:00:00

  • Investigation of the sphincter of Oddi before, immediately after and six weeks after endoscopic papillotomy.

    abstract::The sphincter of Oddi was investigated before, immediately after and 6 weeks after endoscopic sphincterotomy by endoscopic inspection, ERCP manometry, and by X-ray following retrograde cholangiography in 14 patients presenting with bile duct stones. The sphincter motility was normal before sphincterotomy. Following el...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018313

    authors: Staritz M,Ewe K,Meyer zum Büschenfelde KH

    更新日期:1986-01-01 00:00:00

  • Early papillary stenosis following successful endoscopic sphincterotomy for residual common bile duct stone.

    abstract::We report a case of early papillary stenosis following successful endoscopic sphincterotomy for residual common bile duct stone which needed surgical revision. In this rare and unexpected complication the importance of early diagnosis is stressed. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018538

    authors: Richieri JP,Pelisier G

    更新日期:1984-03-01 00:00:00

  • Percutaneous transhepatic cholangioscopy for indeterminate biliary strictures using the SpyGlass system: a case series.

    abstract::Peroral cholangioscopy is useful in differentiating benign from malignant biliary strictures. However, when conventional biliary access via endoscopic retrograde cholangiopancreatography (ERCP) fails, percutaneous transhepatic cholangioscopy (PTCS) via the SpyGlass cholangioscopy system can be used to achieve a diagno...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1392527

    authors: Du L,D'Souza P,Thiesen A,Girgis S,Owen R,McNally D,Sarlieve P,Sandha G

    更新日期:2015-11-01 00:00:00

  • Cost-effectiveness studies in endoscopy: are they worth it?

    abstract::Cost-effectiveness analysis is currently in great demand. Evaluating the cost-effectiveness of endoscopy in comparison with surgical and radiological alternatives for diagnosis and therapy would appear particularly important, since the costs they incur may be substantial. However, several technical and practical issue...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-9618

    authors: Sahai AV

    更新日期:2000-12-01 00:00:00

  • Endoscopic incision of Zenker's diverticula.

    abstract:BACKGROUND AND STUDY AIMS:The endoscopic treatment of symptomatic pharyngoesophageal diverticula (PED) with rigid instruments involves the incision of the septum between the diverticulum and the esophageal lumen, within which the cricopharyngeal muscle is present. The aim of this study is to report on the feasibility a...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005736

    authors: Ishioka S,Sakai P,Maluf Filho F,Melo JM

    更新日期:1995-08-01 00:00:00

  • Endoscopic sclerosis versus cyanoacrylate endoscopic injection for the first episode of variceal bleeding: a prospective, controlled, and randomized study in Child-Pugh class C patients.

    abstract:BACKGROUND AND STUDY AIMS:Despite the recognized efficacy of sclerotherapy and elastic band ligation in controlling variceal hemorrhage, the results of endoscopic treatment in Child-Pugh class C patients remain poor. The aim of this prospective, controlled, and randomized study was to compare conventional sclerotherapy...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2001-14257

    authors: Maluf-Filho F,Sakai P,Ishioka S,Matuguma SE

    更新日期:2001-05-01 00:00:00

  • Limitations of intraductal ultrasonography in differentiating between bile duct cancer in stage T1 and stage T2: in-vitro and in-vivo studies.

    abstract:BACKGROUND AND STUDY AIMS:We investigated whether intraductal ultrasonography (IDUS) could distinguish between stage T1 and T2 bile duct cancer. MATERIALS AND METHODS:In-vitro study. Resected bile duct specimens (n = 8) were immersed in a water tank and were pierced with straight pins to clarify the normal layer struc...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004296

    authors: Tamada K,Kanai N,Ueno N,Ichiyama M,Tomiyama T,Wada S,Oohashi A,Nishizono T,Tano S,Aizawa T,Ido K,Kimura K

    更新日期:1997-10-01 00:00:00

  • Endoscopy of the cerebellopontine angle.

    abstract::Endoscopy of the pontine angle ("cisternoscopy") is a decisive diagnostic procedure in clarifying pathological processes in this region. Using a retrolabyrinthal approach through the mastoid bone, the endoscopes are inserted in the pontine angle for direct inspection. In the present study the method and the diagnostic...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098305

    authors: Ehrenberger K

    更新日期:1978-11-01 00:00:00

  • Simultaneous automatic insufflation and smoke-evacuation system in flexible gastrointestinal endoscopy.

    abstract:BACKGROUND AND AIMS:Automatic smoke evacuation has not been feasible inside the gastrointestinal tract as evacuation collapses pneumoviscera. As previously reported, steady pressure automatically controlled endoscopy (SPACE) may resolve this problem. The aims of this study were to clarify the potential dangers of surgi...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-102782

    authors: Takahashi H,Hirota M,Takahashi T,Yamasaki M,Miyazaki Y,Makino T,Kurokawa Y,Takiguchi S,Mori M,Doki Y,Nakajima K

    更新日期:2016-06-01 00:00:00

  • Obstructive jaundice caused by postsurgical granuloma of the common bile duct.

    abstract::The bile duct can be visualized by injecting contrast material directly into the biliary system. The authors describe three cases of inflammatory, postsurgical granuloma in the vicinity of the cystic stump that gave rise to obstructive jaundice and the symptoms of choledocholithiasis, following bile duct operation. Fo...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021754

    authors: Farkas I,Patkó A,Kövári M

    更新日期:1980-09-01 00:00:00

  • Two liters of polyethylene glycol-electrolyte lavage solution versus sodium phosphate as bowel cleansing regimen for colonoscopy: a prospective randomized controlled trial.

    abstract:BACKGROUND AND STUDY AIMS:As a bowel cleansing agent for colonoscopy, sodium phosphate (NaP) has been reported to have equal effectiveness and better patient tolerance in comparison with 4 l polyethylene glycol-electrolyte lavage (PEG-EL) solution. Poor patient tolerance is frequently associated with a large amount of ...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2002-33207

    authors: Poon CM,Lee DW,Mak SK,Ko CW,Chan KC,Chan KW,Sin KS,Chan AC

    更新日期:2002-07-01 00:00:00

  • Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic submucosal dissection (ESD) has been developed to overcome the limitations of endoscopic mucosal resection (EMR). We aimed to compare the outcomes of these two methods. METHODS:Databases, including Pubmed, EMBASE, and The Cochrane Library, were searched to identify studies comparin...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0029-1215053

    authors: Cao Y,Liao C,Tan A,Gao Y,Mo Z,Gao F

    更新日期:2009-09-01 00:00:00

  • The role of video capsule endoscopy in the diagnosis of digestive diseases: a review of current possibilities.

    abstract::Video capsule endoscopy represents a significant advance in the investigation of intestinal diseases. The performance of the procedure and indications are reviewed here in order to establish guidelines for its use, in accordance with current knowledge from the published literature. Capsule endoscopy is performed in pa...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-825868

    authors: Gay G,Delvaux M,Rey JF

    更新日期:2004-10-01 00:00:00

  • Synergistic sedation with low-dose midazolam and propofol for colonoscopies.

    abstract:BACKGROUND AND STUDY AIMS:Patients undergoing colonoscopy are often sedated with benzodiazepines and long-acting opiates. Since low-dose midazolam also acts synergistically with short-acting propofol, we compared this synergistic sedation with a standard combination of midazolam and the opioid nalbuphine for colonoscop...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2000-134

    authors: Reimann FM,Samson U,Derad I,Fuchs M,Schiefer B,Stange EF

    更新日期:2000-03-01 00:00:00

  • Prevalence of Helicobacter pylori antibodies in the serum of gastroenterologists in Austria.

    abstract::Eighty-eight endoscopists (mean age 41 years, range 29-76 years) and a control group of 100 persons of similar ages were investigated for the prevalence of antibodies (ABs) to Helicobacter pylori, using a quantitative enzyme-linked immunosorbent assay (ELISA) to IgG, two semiquantitative ELISAs to IgG and IgA, and a l...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1009067

    authors: Pristautz H,Eherer A,Brezinschek R,Truschnig-Wilders M,Petritsch W,Schreiber F,Hammer HF,Wenzl H,Hinterleitner T,Reicht G

    更新日期:1994-10-01 00:00:00

  • Role of endoscopy in primary sclerosing cholangitis: European Society of Gastrointestinal Endoscopy (ESGE) and European Association for the Study of the Liver (EASL) Clinical Guideline.

    abstract::1 ESGE/EASL recommend that, as the primary diagnostic modality for PSC, magnetic resonance cholangiography (MRC) should be preferred over endoscopic retrograde cholangiopancreatography (ERCP).Moderate quality evidence, strong recommendation. 2 ESGE/EASL suggest that ERCP can be considered if MRC plus liver biopsy is e...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0043-107029

    authors: Aabakken L,Karlsen TH,Albert J,Arvanitakis M,Chazouilleres O,Dumonceau JM,Färkkilä M,Fickert P,Hirschfield GM,Laghi A,Marzioni M,Fernandez M,Pereira SP,Pohl J,Poley JW,Ponsioen CY,Schramm C,Swahn F,Tringali A,Hassan

    更新日期:2017-06-01 00:00:00

  • Endoscopy innovations.

    abstract::Innovation everywhere for everybody - this is the way we can summarize the 2014 Digestive Disease Week, which was held in Chicago, Illinois, last May. Many sessions introduced new innovative materials and concepts. From the robot of the future to the simplest ideas, the congress was fertile and sometimes full of surpr...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1377510

    authors: Vanbiervliet G,Gonzalez JM,Barthet M

    更新日期:2014-09-01 00:00:00

  • The effective placement of Miller-Abbott-tubes under endoscopic guidance. Technical improvements.

    abstract::In an earlier publication, the intestinal placement of Miller-Abbott-tubes using routine gastroscopic equipment was proposed for the conservative treatment of intestinal obstruction. In addition to the technical advices presented at this early stage of personal experience, we now recommend to 1. insert the tube primar...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098253

    authors: Meissner K,Weissenhofer W

    更新日期:1978-02-01 00:00:00

  • A new endoscopic balloon for sclerotherapy in active bleeding from esophageal varices.

    abstract::A new balloon for flexible endoscopes has been developed and used in 25 patients with esophageal varices: sclerotherapy was carried out as prophylaxis against rebleeding in 17 cases, and during active hemorrhage in 8 cases. The balloon was shown to be effective in controlling hemorrhage and enabling sclerosing injecti...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018474

    authors: Sciaretta G,Verri A,Malaguti P

    更新日期:1985-05-01 00:00:00

  • Quality of optical diagnosis of diminutive polyps and associated factors.

    abstract:BACKGROUND AND AIMS:The aim of the study was to identify endoscopist-related and procedural factors that may be associated with the quality of optical diagnosis of diminutive polyps using narrow-band imaging (NBI). METHODS:All subjects who participated in a randomized trial on cap-assisted colonoscopy were eligible fo...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-108432

    authors: Pohl H,Bensen SP,Toor A,Gordon SR,Levy LC,Anderson PB,Anderson JC,Rothstein RI,Robertson DJ

    更新日期:2016-09-01 00:00:00

  • Laparoscopy-assisted endoscopic full-thickness resection of gastric subepithelial tumors using a nonexposure technique.

    abstract::Background and study aims: To avoid bacterial contamination and tumor seeding during gastrectomy surgery, we developed a nonexposure technique for endoscopic full-thickness resection with laparoscopic assistance. The feasibility and safety of nonexposed endoscopic wall-inversion surgery (NEWS) for gastric subepithelia...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0042-111000

    authors: Goto O,Takeuchi H,Sasaki M,Kawakubo H,Akimoto T,Fujimoto A,Ochiai Y,Maehata T,Nishizawa T,Kitagawa Y,Yahagi N

    更新日期:2016-11-01 00:00:00

  • Upper endoscopy in patients with angina and normal coronary angiograms.

    abstract:BACKGROUND AND STUDY AIMS:It has been recommended that patients with angina, a normal coronary angiogram, and no other signs of heart disease, should be evaluated using esophagogastroduodenoscopy before referral to dynamic esophageal investigations. The aim of the present study was to investigate the clinical value of ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005715

    authors: Frøbert O,Funch-Jensen P,Jacobsen NO,Kruse A,Bagger JP

    更新日期:1995-06-01 00:00:00

  • Death following fiberoptic gastroscopy caused by pheochromocytoma.

    abstract::A 45-year-old woman was admitted to hospital for investigation of weight loss, sciatica and excess sweating. On examination, whe was found to have a tachycardia and the stigmata of von Recklinghausen's disease. Her investigations included a barium meal and gastroscopy. Following the gastroscopy, she developed ventricu...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098490

    authors: Crowe J,Bottomley K,McCarthy CF

    更新日期:1977-03-01 00:00:00

  • Premedication for upper gastrointestinal endoscopy: a comparative study of flunitrazepam, diazepam and neuroleptanalgesia.

    abstract::Flunitrazepam or diazepam with atropine and a combination of phenoperidine, droperidol and cyclizine (neuroleptanalgesia) were compared as premedication in three groups of 25 patients undergoing routine upper gastrointestinal endoscopy. Drug doses were titrated carefully against response and all three regimes were fou...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098290

    authors: Nimmo WS,Forrest JA,Heading RC,Finlayson ND,Prescott LF

    更新日期:1978-08-01 00:00:00

  • Endoscopic markers of villous atrophy are not useful for the detection of celiac disease in patients with dyspeptic symptoms.

    abstract:BACKGROUND AND STUDY AIMS:Celiac disease can manifest with nonspecific symptoms, including functional gastrointestinal disorders such as dyspepsia. The aim of our study was to assess the usefulness of duodenal endoscopic markers of villous atrophy for the selection of dyspeptic patients for histological assessment. PA...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2006-925373

    authors: Lecleire S,Di Fiore F,Antonietti M,Savoye G,Lemoine F,Le Pessot F,Lerebours E,Ducrotté P

    更新日期:2006-07-01 00:00:00

  • Eosinophilic esophagitis in adults: what is the clinical significance?

    abstract::Eosinophilic esophagitis is a condition that is being increasingly recognized in adults. The main presenting symptoms are dysphagia (93 %), food impaction (62 %), and heartburn (24 %). A history of allergy is obtained in 52 % of patients and peripheral eosinophilia is found in 31 % of patients with this condition. Eso...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-924983

    authors: Sgouros SN,Bergele C,Mantides A

    更新日期:2006-05-01 00:00:00

  • Botulinum toxin injection as a diagnostic tool for verification of sphincter of Oddi dysfunction causing recurrent pancreatitis.

    abstract::Sphincter of Oddi dyskinesia (SOD) is among the less frequent causes of acute recurrent pancreatitis. We report on a patient with frequent pain attacks accompanied by pancreatic enzyme elevation, in whom a transitory decrease of the SO pressure following endoscopic botulinus toxin injection was a diagnostic clue for S...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004086

    authors: Muehldorfer SM,Hahn EG,Ell C

    更新日期:1997-02-01 00:00:00

  • Endoscopic resection as local treatment of mucosal cancer of the esophagus.

    abstract::Limited surgery is indicated for mucosal cancer of the esophagus without lymph node metastasis. Esophagectomy without thoracotomy and endoscopic resection are carried out as the operative modalities of reduced surgery. Mucosal cancer less than 3 cm in size without any nodal involvement is suitable for endoscopic resec...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010430

    authors: Endo M

    更新日期:1993-11-01 00:00:00

  • A prospective, randomized comparison of the ease and safety of variceal ligation using a multiband vs. a conventional ligation device.

    abstract:BACKGROUND AND STUDY AIMS:Recent advances in endoscopic technology have led to the development of multiple-banding devices which avoid the use of an overtube in endoscopic variceal ligation. In the present study we prospectively examined the safety and efficacy of one such device compared with the conventional single-b...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2000-9617

    authors: Wong T,Pereira SP,McNair A,Harrison PM

    更新日期:2000-12-01 00:00:00