Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases

Eric Esrailian, MD, MPH

Chapter 44: Anticoagulation And Antibiotics In Endoscopy (continued)

Kevin A. Ghassemi, MD

Endoscopic procedures carry small, but not insignificant, risks of bleeding and infection. Bleeding potential is increased in patients taking antithrombotic agents for various conditions. The endoscopist must decide whether to continue such medications periprocedurally in the face of a greater bleeding potential or to discontinue them and risk a thrombotic event. Infections can arise from bacteremia that results from mucosal trauma during endoscopy, or they can occur when normally sterile spaces are contaminated during endoscopic instrumentation. Bacteremia can occur in up to 50% of cases…