The Korean Journal of Gastroenterology :eISSN 2233-6869 / pISSN 1598-9992

 

Table. 1.

Recommendations on the Resumption of Antiplatelets and Anticoagulants in Patients with Peptic Ulcer Bleeding by Korean College of Helicobacter and Upper Gastrointestinal Research

Statement Grade of recommendation Level of evidence
7. We recommend restarting aspirin as soon as possible for patients receiving aspirin for secondary cardiovascular or cerebrovascular prophylaxis, once peptic ulcer bleeding has been successfully controlled with endoscopic hemostasis. Strong Moderate
We recommend restarting thienopyridine including clopidogrel as soon as possible for patients receiving thienopyridine for secondary cardiovascular or cerebrovascular prophylaxis, once peptic ulcer bleeding has been successfully controlled with endoscopic hemostasis. Strong Low
We recommend restarting aspirin as soon as possible for patients receiving dual antiplatelet therapy for secondary cardiovascular or cerebrovascular prophylaxis, once peptic ulcer bleeding has been successfully controlled with endoscopic hemostasis. We also recommend early cardiology consultation for resuming the second antiplatelet. Strong Low
8. We recommend restarting anticoagulants as soon as possible for patients who need long-term anticoagulant therapy, once peptic ulcer bleeding has been successfully controlled with endoscopic hemostasis. The timing for resumption is determined considering patients’ risks of rebleeding and importance of resumption of anticoagulants. Strong Very low
Korean J Gastroenterol 2020;76:242~245 https://doi.org/10.4166/kjg.2020.138
© Korean J Gastroenterol