Guide Use of Antithrombotics Around Urgent Colonoscopies

May 2022

You'll be asked how to manage anticoagulants or antiplatelets around a colonoscopy for acute lower GI bleeds.

Consider these rules of thumb...and individualize based on bleeding severity, hemodynamic stability, thrombotic risk, etc.

Anticoagulants. For patients on warfarin, generally try to lower the INR to 2.5 or less before colonoscopy.

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