Johns Hopkins Manual for GI Endoscopic Nurses, Third Edition

Mouen Khashab, MD; Toshunia Robinson, MD; Anthony Kalloo, MD

Chapter 49: Management Of Patients On Anticoagulation Therapy (continued)

Libbie L. Monroe, BSN, RN, CGRN; Toshunia F. Robinson, RN, BSN

The ASGE has developed guidelines for the management of patients that are on anticoagulation therapy prior to endoscopic procedures. These guidelines should be used as a tool for a gastroenterologist to manage patients that are scheduled to undergo an endoscopic procedure. Coagulopathy is a pathologic condition that can affect the ability of the blood to clot. This condition can cause prolonged or excessive bleeding, which may occur spontaneously or following a medical procedure such as an endoscopy. Special considerations during endoscopy include the following: TABLE 49-1. PROCEDURE RISK