BSG & ESGE Guidelines 2021 Update: Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants

Addendum 3 June 2024

We are pleased to announce the online publication of the update to the 2016 collaborative BSG/ESGE guideline on endoscopy in patients on antiplatelet or anticoagulant therapy.

An extensive revision, and evidence-based update, has been conducted throughout, and a section has been added on the management of patients presenting with acute GI haemorrhage.

As well as gastroenterologists, the authors include haematologists with expertise in thrombosis, an interventional cardiologist, and strong patient representation.

As before, recommendations are based on the risk balance between thrombosis and haemorrhage in given situations.

Andy Veitch
BSG President Elect 2020-2022

Supporting documents

Figure 1: Guidelines for the management of patients on P2Y12 receptor antagonist antiplatelet agents undergoing endoscopic procedures: 2021 update
Figure 2: Guidelines for the management of patients on warfarin or Direct Oral Anticoagulants (DOAC) undergoing endoscopic procedures: 2021 update
Patient Information

Read More

BSG logo
Guidelines
Endoscopy
BSG interim technical review and position on the use of lumen opposing metal stents during therapeutic endoscopic ultrasound following the urgent medical device recall
clinical-resource/Lumen-opposing-metal-stents-review

BSG logo
Clinical Resources
Position Statements
British Society of Gastroenterology and Association of Coloproctology of Great Britain and Ireland position on tranexamic acid in upper and lower gastrointestinal bleeding
clinical-resource/Tranexamic-acid-in-upper-lower-GI-bleeding
Following a concern raised to NHS England’s National Patient Safety Team regarding tranexamic acid use in gastrointestinal bleeding, and in light of the 2020 publication of the HALT-IT trial results,