Contemporary approaches in the peri-endoscopic management of antithrombotic agents: current paradigms, challenges, and prognostications.

In elective gastrointestinal endoscopy scenarios, there is a notable trend of unnecessary discontinuation of anticoagulants and antiplatelet medications, with warfarin being ceased more frequently than aspirin without clinical indication. 31 In contrast, for procedures with high-bleeding risks, such as polypectomy, adherence to guidelines is better, as practitioners prioritize the avoidance of thromboembolic risks over bleeding risks. 27 Current literature is deficient in evaluating patient adherence to recommended practices, particularly concerning the use of LMWH bridging and the duration of warfarin discontinuation.

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