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First study examines postpolypectomy bleeding in colonoscopy patients on uninterrupted clopidogrel
Date:5/19/2010

isk of acute ischemic events, especially when clopidogrel is held within 90 days of initiation of therapy. They support the recommendation to defer elective/screening colonoscopy for the first 6 to 12 months after coronary intervention. Even after 12 months, it is unnecessary to hold clopidogrel in all individuals undergoing a screening colonoscopy for polyp detection rates of 25 percent to 35 percent.

In an accompanying editorial, ASGE Past President John L. Petrini, MD, FASGE, Sansum Clinic, Santa Barbara, Ca., and Keck School of Medicine, University of Southern California, Los Angeles, stated, "At the current time, the decision to continue or discontinue antiplatelet therapy is not firmly resolved and a standard of practice is not established. Endoscopists and their patients need to be aware of who is being prevented from harm in the decision to alter medications given to reduce the risk of stent occlusion. The article by Singh et al offers some support for those of us who believe that continuing antiplatelet therapy in these patients may be the best way of doing no harm."


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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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