The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

Endoscopic Sphincterotomy and Aspirin

내시경 유두 괄약근 절개술과 아스피린

  • Lee, Jong-Kyun (Division of Gastroenterology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이종균 (성균관대학교 의과대학 삼성서울병원 소화기내과)
  • Published : 2011.08.01
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Abstract

Antiplatelet drugs are associated with gastro-intestinal bleedings. Aspirin is one of most popular medicines for cardiovascular diseases. Endoscopic sphincterotomy (EST) has a high procedural risk of bleeding. However, there has been no evidence-based study about taking aspirin before and after EST. There are controversies in the guidelines from American Society for Gastrointestinal Endoscopy, British Society of Gastroenterology, and Japan Gastroenterological Endoscopy Society. Continuous intake of aspirin before EST is recommended in Western guidelines. To the contrary, 3 to 7 days cessation of aspirin before EST is needed according to Japan guidelines. Until a well-organized study make definite evidence, personalized approach is prudent to decide to stop or continue to take aspirin before and after EST.

Keywords

References

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