아스피린 및 항응고제 복용 환자에서 소화성궤양 출혈의 치료
Management of Peptic Ulcer Bleeding in Patients Taking Aspirin or Anticoagulant
양효준,
소속 상세정보
양효준 ( Yang Hyo-Joon )
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Internal Medicine
Abstract
Antiplatelet and anticoagulation agents are increasingly prescribed for secondary prophylaxis in patients with cardiovascular and cerebrovascular diseases. These drugs are associated with an increased risk of gastrointestinal bleeding, including peptic ulcer bleeding. It is difficult to decide when to restart the agents after peptic ulcer bleeding in these patients because the risk of rebleeding and thromboembolism should be balanced. The Korean College of Helicobacter and Upper Gastrointestinal Research revised the guidelines for drug-induced peptic ulcers as evidence-based guidelines using a de novo process. This paper introduces new recommendations on the resumption of antiplatelet and anticoagulation agents after peptic ulcer bleeding based on the revised guidelines for drug-induced peptic ulcers.
키워드
Peptic ulcer hemorrhage; Aspirin; Platelet aggregation inhibitors; Anticoagulants; Guideline
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