BSG & ESGE Guidelines 2021 Update: Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants

Addendum 3 June 2024

We are pleased to announce the online publication of the update to the 2016 collaborative BSG/ESGE guideline on endoscopy in patients on antiplatelet or anticoagulant therapy.

An extensive revision, and evidence-based update, has been conducted throughout, and a section has been added on the management of patients presenting with acute GI haemorrhage.

As well as gastroenterologists, the authors include haematologists with expertise in thrombosis, an interventional cardiologist, and strong patient representation.

As before, recommendations are based on the risk balance between thrombosis and haemorrhage in given situations.

Andy Veitch
BSG President Elect 2020-2022

Supporting documents

Figure 1: Guidelines for the management of patients on P2Y12 receptor antagonist antiplatelet agents undergoing endoscopic procedures: 2021 update
Figure 2: Guidelines for the management of patients on warfarin or Direct Oral Anticoagulants (DOAC) undergoing endoscopic procedures: 2021 update
Patient Information

Read More

BSG logo
Service Success Stories
Inflammatory Bowel Disease
Sagittarius: A Novel University-NHS UC Flare Service Transforming Care, Capacity, and Research
clinical-resource/(SSS)-Sagittarius-UC-Flare-Service
When patients with ulcerative colitis (UC) experience a flare, timely endoscopic assessment is essential to guide treatment decisions.

BSG logo
Service Success Stories
Endoscopy
Establishing a radiofrequency ablation service for radiation proctopathy
clinical-resource/(SSS)-Radiofrequency-ablation-service
30,000 patients per year have pelvic radiotherapy in the UK. Survival is improving, meaning more people are living long enough to develop side effects.