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Do you continue antiplatelet/anticoagulant therapy in patients with hemodynamically stable diverticular bleeding to improve localization and treatment of source of bleeding?

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Do you continue antiplatelet/anticoagulant therapy in patients with hemodynamically stable diverticular bleeding to improve localization and treatment of source of bleeding?

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3 Answers
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Gastroenterology · Emory University School of Medicine
Answered on

Usually the decision to stop antiplatelet/anticoagulant therapy is dependent on the indication for starting the therapy, the severity of the bleeding and hemodynamic status of the patient. Based on the current ACG guidelines, it is ok to continue antiplatelet/anticoagulant therapy for hemodynamicall...

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Gastroenterology · Gastroenterology Associates Of Southern California
Answered on

Agree with the above. In community practice, most cases are admitted after the discontinuation of antiplatelets and anticoagulants are discontinued from ER itself, as they have frank rectal bleeding.

The CTA and RBC tag scan are performed in 6-12 hours and are usually negative, while the patient con...

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Gastroenterology · Arizona Digestive Health Scottsdale Gelzayd
Answered on

IV heparin prior to endoscopy is an interesting option but in most instances anti platelet and DAPT is held, especially since this halts bleeding and most diverticular bleeds are infrequent.

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