Challenge or daily routine? Endoscopic polypectomy in patients taking oral anticoagulant therapy

Background: Regarding hemorrhagic complications, endoscopic polypectomy is considered to be a high risk technique. While the anticoagulant therapy increases the possibility of bleeding, suspending it could cause thromboembolic complications. Aim: Retrospective analysis of the authors' method used for the prevention of hemorrhagic and thromboembolic complications in last five years. Methods: main procedures: suspending OAT (oral anticoagulant therapy) before operation preventive application of clip or endoloop in case of polyps bigger than 1 cm bridging LMWH therapy 24 – 48 hours after the operation resuming OAT…