내시경 시술 전후 항혈전제 사용 임상진료지침
Clinical Practice Guideline for the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy
임현, 공은정, 민병훈, 강승주, 신철민, 변정식, 변정식, 최미영, 박찬국, 조주영, 이수택, 김호각, 전훈재,
소속 상세정보
임현 ( Lim Hyun )
Hallym University Sacred Heart Hospital Department of Gastroenterology
공은정 ( Gong Eun-Jeong )
University of Ulsan College of Medicine Gangneung Asan Hospital Department of Internal Medicine
민병훈 ( Min Byung-Hoon )
Samsung Medical Center Department of Gastroenterology
강승주 ( Kang Seung-Joo )
Seoul National University Hospital Healthcare System Gangnam Center Department of Internal Medicine
신철민 ( Shin Cheol-Min )
Seoul National University Bundang Hospital Department of Internal Medicine
변정식 ( Byeon Jeong-Sik )
National Evidence-Based Healthcare Collaborating Agency
변정식 ( Byeon Jeong-Sik )
University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
최미영 ( Choi Mi-Young )
National Evidence-Based Healthcare Collaborating Agency
박찬국 ( Park Chan-Guk )
Chosun University Hospital Department of Gastroenterology
조주영 ( Cho Joo-Young )
CHA University CHA Bundang Medical Center Department of Gastroenterology
이수택 ( Lee Soo-Teik )
Jeonbuk National University Hospital Department of Gastroenterology
김호각 ( Kim Ho-Gak )
Daegu Catholic University School of Medicine Department of Gastroenterology
전훈재 ( Chun Hoon-Jai )
Korea University Anam Hospital Department of Internal Medicine
Abstract
Antithrombotic agents, including antiplatelet agents and anticoagulants, are increasingly used in South Korea. The management of patients using antithrombotic agents and requiring gastrointestinal endoscopy is an important clinical challenge. Although clinical practice guidelines (CPGs) for the management of patients receiving antithrombotic agents and undergoing gastrointestinal endoscopy have been developed in the Unites States, Europe, and Asia Pacific region, it is uncertain whether these guidelines can be adopted in South Korea. After reviewing current CPGs, we identified unmet needs and recognized significant discrepancies in the clinical practice among regions. This is the first CPG in Korea providing information that may assist endoscopists in the management of patients on antithrombotic agents who require diagnostic or elective therapeutic endoscopy. This guideline was developed through the adaptation process as an evidence-based method, with four guidelines retrieved by systematic review. Eligible guidelines were evaluated according to the Appraisal of Guidelines for Research and Evaluation II process, and 13 statements were established using a grading system. This guideline was reviewed by external experts before an official. It will be revised as necessary to cover changes in technology, evidence, or other aspects of clinical practice.
키워드
Adaptation; Anticoagulants; Antiplatelet agents; Endoscopy; Guidelines
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