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
Clinical Resources Area
BSR guideline for the prescription and monitoring of conventional synthetic disease-modifying anti-rheumatic drugs
clinical-resource/Prescription-monitoring-anti-rheumatic-drugs
This guideline has been endorsed by the BSG.

BSG logo
Clinical Resources
Guidelines
Endoscopy
BSG/ACPGBI guidelines on the role of FIT in the endoscopic investigation of IDA 2025
clinical-resource/Role-of-FIT-in-the-investigation-of-IDA
This guideline was published in October 2025.