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For: Yanagisawa N, Nagata N, Watanabe K, Iida T, Hamada M, Kobayashi S, Shimbo T, Akiyama J, Uemura N. Post-polypectomy bleeding and thromboembolism risks associated with warfarin vs direct oral anticoagulants. World J Gastroenterol 2018; 24(14): 1540-1549 [PMID: 29662292 DOI: 10.3748/wjg.v24.i14.1540]
URL: https://www.wjgnet.com/1007-9327/full/v24/i14/1540.htm
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1
Masaki Murata, Mitsushige Sugimoto, Satoshi Ueshima, Yasuaki Nagami, Masaki Ominami, Yohei Furumoto, Tatsuya Mikami, Manabu Sawaya, Naohisa Yoshida, Ken Inoue, Yasuhiko Maruyama, Tomohiro Terai, Shigetsugu Tsuji, Takeshi Yamamura, Takanori Yamada, Yoji Takeuchi, Nobuaki Yagi, Satoshi Osawa, Yashiro Yoshizawa, Shunichiro Orihara, Shin’ichi Miyamoto, Sayana Matsuda, Daiki Hira, Tomohiro Terada, Toshiya Katsura, Mitsuhiro Fujishiro, Takashi Kawai. Pharmacodynamics of direct oral anticoagulants associated with post-endoscopic delayed mucosal resection bleeding of colorectal neoplasms. Scientific Reports 2025; 15(1) doi: 10.1038/s41598-025-33056-w
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Hideaki Harada, Youichi Miyaoka, Takafumi Yuki, Tomoyuki Iwaki, Gen Maeda, Ryotaro Nakahara, Daisuke Murakami, Tetsuro Ujihara, Yasushi Katsuyama, Kenji Hayasaka, Yoshinori Kushiyama, Hirofumi Fujishiro, Yuji Amano. Postpolypectomy bleeding of colorectal polyps in patients with continuous warfarin and short-term interruption of direct oral anticoagulants. Gastrointestinal Endoscopy 2021; 93(3) doi: 10.1016/j.gie.2020.09.046
3
Dai Nakamatsu, Tsutomu Nishida, Yoshifumi Fujii, Sho Yamaoka, Naoto Osugi, Aya Sugimoto, Kaori Mukai, Kengo Matsumoto, Masashi Yamamoto, Shiro Hayashi, Sachiko Nakajima. Safety of Cold Snare Polypectomy for Small Colorectal Polyps in Patients Receiving Antithrombotic Therapy. Techniques and Innovations in Gastrointestinal Endoscopy 2022; 24(3) doi: 10.1016/j.tige.2022.03.008
4
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee. International Digestive Endoscopy Network consensus on the management of antithrombotic agents in patients undergoing gastrointestinal endoscopy. Clinical Endoscopy 2024; 57(2) doi: 10.5946/ce.2024.002
5
Neena S. Abraham, Alan N. Barkun, Bryan G. Sauer, James Douketis, Loren Laine, Peter A. Noseworthy, Jennifer J. Telford, Grigorios I. Leontiadis. American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of Anticoagulants and Antiplatelets During Acute Gastrointestinal Bleeding and the Periendoscopic Period. American Journal of Gastroenterology 2022; 117(4) doi: 10.14309/ajg.0000000000001627
6
Andrea Pozzi, Fabiana Lucà, Sandro Gelsomino, Maurizio Giuseppe Abrignani, Simona Giubilato, Stefania Angela Di Fusco, Carmelo Massimiliano Rao, Stefano Cornara, Giorgio Caretta, Roberto Ceravolo, Iris Parrini, Giovanna Geraci, Carmine Riccio, Massimo Grimaldi, Furio Colivicchi, Fabrizio Oliva, Michele Massimo Gulizia. Coagulation Tests and Reversal Agents in Patients Treated with Oral Anticoagulants: The Challenging Scenarios of Life-Threatening Bleeding and Unplanned Invasive Procedures. Journal of Clinical Medicine 2024; 13(9) doi: 10.3390/jcm13092451
7
Jessica X. Yu, Melissa Oliver, Jody Lin, Matthew Chang, Berkeley N. Limketkai, Roy Soetikno, Jay Bhattacharya, Tonya Kaltenbach. Patients Prescribed Direct-Acting Oral Anticoagulants Have Low Risk of Postpolypectomy Complications. Clinical Gastroenterology and Hepatology 2019; 17(10) doi: 10.1016/j.cgh.2018.11.051
8
Scott C. Mauch, Annie M. Zlevor, Emily A. Knott, Allison B. Couillard, Sarvesh Periyasamy, Eliot C. Williams, John F. Swietlik, Paul F. Laeseke, Xiaofei Zhang, Zhen Xu, E. Jason Abel, Fred T. Lee, Timothy J. Ziemlewicz. Hepatic and Renal Histotripsy in an Anticoagulated Porcine Model. Journal of Vascular and Interventional Radiology 2023; 34(3) doi: 10.1016/j.jvir.2022.11.034
9
Yutaka Okagawa, Masanori Sato, Masahiro Hirakawa, Shogo Miura, Naotaka Hayasaka, Yusuke Tomita, Saki Ameda, Ginji Omori, Shutaro Oiwa, Akira Sakurada, Tomoyuki Abe, Shinya Minami, Tetsuya Sumiyoshi, Yasuhiro Nagaoka, Hiroyuki Hisai, Shinichi Katsuki, Kohichi Takada. Is Routine Interruption of Direct Oral Anticoagulants Necessary during Colorectal Endoscopic Mucosal Resection and Hot Snare Polypectomy? A Multicenter Propensity‐Matched Study. Journal of Gastroenterology and Hepatology 2026;  doi: 10.1111/jgh.70569
10
Ya-Fang Zhu, Jun-Hong Ma, Hua Qian, Nan-Nan Shen. Risks of bleeding and thromboembolic events in patients undergoing colonoscopy on uninterrupted and interrupted anticoagulant therapy in real-world setting. Thrombosis Research 2024; 241 doi: 10.1016/j.thromres.2024.109107
11
Masataka Mori, Yoshinobu Ichiki, Masatoshi Kanayama, Akihiro Taira, Shinji Shinohara, Taiji Kuwata, Naoko Imanishi, Kazue Yoneda, Koji Kuroda, Fumihiro Tanaka. The impact of perioperative heparin bridging therapy in lung cancer surgery. General Thoracic and Cardiovascular Surgery 2020; 68(6) doi: 10.1007/s11748-019-01276-3
12
Andy Tien, Karl Kwok, Elizabeth Dong, Bechien Wu, Joanie Chung, Jonathan Chang, Kristi Reynolds. Impact of direct-acting oral anticoagulants and warfarin on postendoscopic GI bleeding and thromboembolic events in patients undergoing elective endoscopy. Gastrointestinal Endoscopy 2020; 92(2) doi: 10.1016/j.gie.2020.02.038
13
Jen-Hao Yeh, Wen-Lun Wang, Chih-Wen Lin, Ching-Tai Lee, Cheng-Hao Tseng, Po-Jen Hsiao, Yu-Peng Liu, Jaw-Yuan Wang. Safety of cold snare polypectomy with periprocedural antithrombotic agents for colorectal polyps: a systematic review and meta-analysis. Therapeutic Advances in Gastroenterology 2022; 15 doi: 10.1177/17562848211070717
14
He Zhu, Fudong Li, Ke Tao, Mingqing Liu, Hong Xu. Bleeding after endoscopic resection between direct oral anticoagulants or warfarin: Systematic review and meta‐analysis. Journal of Gastroenterology and Hepatology 2021; 36(9) doi: 10.1111/jgh.15527
15
Oliver Bendall, Joel James, Katarzyna M Pawlak, Sauid Ishaq, J Andy Tau, Noriko Suzuki, Steven Bollipo, Keith Siau. Delayed Bleeding After Endoscopic Resection of Colorectal Polyps: Identifying High-Risk Patients. Clinical and Experimental Gastroenterology 2021;  doi: 10.2147/CEG.S282699
16
Bing-Jie Xiang, Yu-Hong Huang, Min Jiang, Cong Dai. Effects of antithrombotic agents on post-operative bleeding after endoscopic resection of gastrointestinal neoplasms and polyps: A systematic review and meta-analysis. World Journal of Meta-Analysis 2020; 8(5) doi: 10.13105/wjma.v8.i5.410
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17
Daisuke Yamaguchi, Hisako Yoshida, Kei Ikeda, Yuki Takeuchi, Shota Yamashita, Amane Jubashi, Takahiro Yukimoto, Eri Takeshita, Wataru Yoshioka, Hiroko Fukuda, Naoyuki Tominaga, Nanae Tsuruoka, Tomohito Morisaki, Keisuke Ario, Seiji Tsunada, Kazuma Fujimoto. Colorectal endoscopic mucosal resection with submucosal injection of epinephrine versus hypertonic saline in patients taking antithrombotic agents: propensity-score-matching analysis. BMC Gastroenterology 2019; 19(1) doi: 10.1186/s12876-019-1114-x
18
Rohita Reji, Gary Zhang, Angela Jaques, Spiro Raftopoulos. Safety of cold snare polypectomy with continued direct‐acting oral anticoagulation: a multicentre retrospective cohort study. Internal Medicine Journal 2026;  doi: 10.1111/imj.70518
19
Faust Riu Pons, Noèlia Vilalta, Gemma Ibáñez-Sanz, Sergi Quintana-Carbó, Andrea Calvo, Hugo Uchima, Pilar García-Iglesias, Cristina Romero-Mascarell, Ermengol Vallès, Marco Antonio Álvarez. Fármacos antitrombóticos en la endoscopia digestiva. Documento de posicionamiento de la Societat Catalana de Digestologia. Gastroenterología y Hepatología 2026; 49(2) doi: 10.1016/j.gastrohep.2025.502536
20
Xianhong Zhao, Yangxue Huang, Jiarong Li, Aoqiang Zhou, Gengxin Chen, Haixia Deng. Management of anticoagulants in delayed bleeding after endoscopic resection: A systematic review and meta-analysis. Endoscopy International Open 2021; 9(07) doi: 10.1055/a-1467-6068
21
Ritsu Yasuda, Naohisa Yoshida, Takaaki Murakami, Ryohei Hirose, Ken Inoue, Osamu Dohi, Yuji Naito, Yutaka Inada, Takashi Okuda, Daisuke Hasegawa, Kotaro Okuda, Kiyoshi Ogiso, Yoshikazu Inagaki, Koichi Soga, Akira Tomie, Yoshito Itoh. Multicenter Study of the Hemorrhage Risk after Endoscopic Mucosal Resection Associated with Direct Oral Anticoagulants. Gastroenterology Research and Practice 2019; 2019 doi: 10.1155/2019/5743561
22
Bing-Jie Xiang, Yu-Hong Huang, Min Jiang, Cong Dai. Effects of antithrombotic agents on post-operative bleeding after endoscopic resection of gastrointestinal neoplasms and polyps: A systematic review and meta-analysis. World Journal of Meta-Analysis 2020; 8(5): 411-434 doi: 10.13105/wjma.v8.i5.411
23
Nan-Nan Shen, Jun-Hong Ma, Hua Qian, Yong-Ping Fu. Risk of post-polypectomy bleeding and thromboembolic events during colonoscopy in patients on continued or interrupted antiplatelet therapy: a pooled analysis. Frontiers in Pharmacology 2025; 16 doi: 10.3389/fphar.2025.1660871
24
Ji Hyun Song, Shai Friedland. Is Submucosal Injection Helpful in Cold Snare Polypectomy for Small Colorectal Polyps?. Clinical Endoscopy 2021; 54(3) doi: 10.5946/ce.2020.226
25
Maurizio Giuseppe Abrignani, Alberto Lombardo, Annabella Braschi, Nicolò Renda, Vincenzo Abrignani. Proton pump inhibitors and gastroprotection in patients treated with antithrombotic drugs: A cardiologic point of view. World Journal of Cardiology 2023; 15(8): 375-394 doi: 10.4330/wjc.v15.i8.375
26
Jong Yop Pae, Eun Soo Kim, Sung Kook Kim, Min Kyu Jung, Jun Heo, Jang Hoon Lee, Min Ae Park. Gastrointestinal bleeding risk of non-vitamin K antagonist oral anticoagulants versus warfarin in general and after polypectomy: a population-based study with propensity score matching analysis. Intestinal Research 2022; 20(4) doi: 10.5217/ir.2021.00161
27
Faust Riu Pons, Noèlia Vilalta, Gemma Ibáñez-Sanz, Sergi Quintana-Carbó, Andrea Calvo, Hugo Uchima, Pilar García-Iglesias, Cristina Romero-Mascarell, Ermengol Vallès, Marco Antonio Álvarez. Antithrombotics drugs in Gastrointestinal Endoscopy. Position Statment of the Catalan Society of Gastroenterology. Gastroenterología y Hepatología (English Edition) 2026; 49(2) doi: 10.1016/j.gastre.2025.502536
28
Yan Kiu Li, Chuan-Guo Guo, Ka Shing Cheung, Kevin S.H. Liu, Wai K. Leung. Risk of Postcolonoscopy Thromboembolic Events: A Real-World Cohort Study. Clinical Gastroenterology and Hepatology 2023; 21(12) doi: 10.1016/j.cgh.2022.09.021
29
Kazuhiro Watanabe, Naoyoshi Nagata, Naohiro Yanagisawa, Takuro Shimbo, Hidetaka Okubo, Koh Imbe, Chizu Yokoi, Mikio Yanase, Akio Kimura, Junichi Akiyama, Naomi Uemura. Effect of antiplatelet agent number, types, and pre-endoscopic management on post-polypectomy bleeding: validation of endoscopy guidelines. Surgical Endoscopy 2021; 35(1) doi: 10.1007/s00464-020-07402-0
30
Ali A. Alali, Majid A. Almadi, Alan N. Barkun. Waye's Colonoscopy. 2026;  doi: 10.1002/9781394220281.ch8
31
Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee. International Digestive Endoscopy Network Consensus on the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy. Gut and Liver 2024; 18(5) doi: 10.5009/gnl240176
32
Neena S Abraham, Alan N Barkun, Bryan G Sauer, James Douketis, Loren Laine, Peter A Noseworthy, Jennifer J Telford, Grigorios I Leontiadis. American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of Anticoagulants and Antiplatelets During Acute Gastrointestinal Bleeding and the Periendoscopic Period. Journal of the Canadian Association of Gastroenterology 2022; 5(2) doi: 10.1093/jcag/gwac010
33
Danse Bi, Linda Y. Zhang, Mohammad Alqaisieh, Apurva Shrigiriwar, Jad Farha, Tala Mahmoud, Karl Akiki, Jose Antonio Almario, Sardar M. Shah-Khan, Stuart R. Gordon, Jeffrey M. Adler, Mark Radetic, Peter V. Draganov, Yakira N. David, Brianna Shinn, Zahraa Mohammed, Alexander Schlachterman, Sofia Yuen, Ahmad Al-Taee, Namn Yunseok, Roberto Trasolini, Michael Bejjani, Bachir Ghandour, Hemchand Ramberan, Andrew Canakis, Saowanee Ngamruengphong, Andrew C. Storm, Shailendra Singh, Heiko Pohl, Juan Carlos Bucobo, Jonathan M. Buscaglia, Lionel S. D’Souza, Bashar Qumseya, Nikhil A. Kumta, Anand Kumar, Gregory B. Haber, Hiroyuki Aihara, Mandeep Sawhney, Raymond Kim, Tyler M. Berzin, Mouen A. Khashab. Novel through-the-scope suture closure of colonic EMR defects (with video). Gastrointestinal Endoscopy 2023; 98(1) doi: 10.1016/j.gie.2023.02.031
34
Hideaki Harada, Ryotaro Nakahara, Daisuke Murakami, Satoshi Suehiro, Takuya Nagasaka, Tetsuro Ujihara, Ryota Sagami, Yasushi Katsuyama, Kenji Hayasaka, Shigetaka Tounou, Yuji Amano. The effect of anticoagulants on delayed bleeding after colorectal endoscopic submucosal dissection. Surgical Endoscopy 2020; 34(8) doi: 10.1007/s00464-019-07101-5
35
Louis HS Lau, Cosmos LT Guo, Terry CF Yip, Joyce WY Mak, Sunny H Wong, Kelvin LY Lam, Grace LH Wong, Siew C Ng, Francis KL Chan. Risks of post-colonoscopic polypectomy bleeding and thromboembolism with warfarin and direct oral anticoagulants: a population-based analysis. Gut 2022; 71(1) doi: 10.1136/gutjnl-2020-323600
36
Bjarki T Alexandersson, Anna Andreasson, Charlotte Hedin, Gabriella Broms, Peter T Schmidt, Anna Forsberg. Inflammatory Bowel Disease Is not Linked to a Higher Rate of Adverse Events in Colonoscopy—a Nationwide Population-based Study in Sweden. Journal of Crohn's and Colitis 2023; 17(12) doi: 10.1093/ecco-jcc/jjad114
37
Andrew Chan, Hamish Philpott, Amanda H Lim, Minnie Au, Derrick Tee, Damian Harding, Mohamed Asif Chinnaratha, Biju George, Rajvinder Singh. Anticoagulation and antiplatelet management in gastrointestinal endoscopy: A review of current evidence. World Journal of Gastrointestinal Endoscopy 2020; 12(11): 408-450 doi: 10.4253/wjge.v12.i11.408
38
Atsushi Morita, Ichitaro Horiuchi, Naoki Tanaka, Hidetoshi Takada, David Y. Graham, Akira Horiuchi. Managing bleeding risk after cold snare polypectomy in patients receiving direct-acting oral anticoagulants. Gastrointestinal Endoscopy 2022; 95(5) doi: 10.1016/j.gie.2022.01.005
39
Dennis M. Jensen, Jeffrey Gornbein, Phillip Fejleh, Michael Lewis, Hanlin Wang. Prediction and Prevention of Delayed Post-polypectomy-induced Ulcer Hemorrhage Based Upon an Anatomic Study and Multivariable Analyses. Digestive Diseases and Sciences 2026;  doi: 10.1007/s10620-026-09710-2
40
Marcello Maida, Sandro Sferrazza, Carlo Maida, Gaetano Cristian Morreale, Alessandro Vitello, Giovanni Longo, Vincenzo Garofalo, Emanuele Sinagra. Management of antiplatelet or anticoagulant therapy in endoscopy: A review of literature. World Journal of Gastrointestinal Endoscopy 2020; 12(6): 172-192 doi: 10.4253/wjge.v12.i6.172
41
Louis H.S. Lau, Cosmos L.T. Guo, Joyce K.K. Lee, Clive S.T. Chan, Joyce W.Y. Mak, Sunny H. Wong, Terry C.F. Yip, Grace L.H. Wong, Vincent W.S. Wong, Francis K.L. Chan, Raymond S.Y. Tang. Effectiveness of prophylactic clipping in preventing postpolypectomy bleeding in oral anticoagulant users: a propensity-score analysis. Gastrointestinal Endoscopy 2022; 96(3) doi: 10.1016/j.gie.2022.04.001
42
Lawrence Jun Leung, Sophie A. Merchant, Prakash Thomas, Christopher D. Jensen, Pradeep Koripella, Amanat Bal, Aaron Oh, Marcia Leung, Jeffrey K. Lee. Timing of Direct Oral Anticoagulant Resumption After Outpatient Colonoscopy and Risk of Gastrointestinal Bleeding and Thromboembolic Events. Clinical Gastroenterology and Hepatology 2026;  doi: 10.1016/j.cgh.2026.03.005
43
Aditya Gutta, Mark A. Gromski. Endoscopic Management of Post-Polypectomy Bleeding. Clinical Endoscopy 2020; 53(3) doi: 10.5946/ce.2019.062
44
Andrew Q. Giap, Ivy Hang, Qiaoling Chen, Karl Kwok, Stephanie Tovar, Hong-An Huynh, Douglas H. Osato, Dien Lander, Bechien U. Wu. Safety of uninterrupted anticoagulation in the setting of routine colonoscopy. Gastrointestinal Endoscopy 2025; 102(6) doi: 10.1016/j.gie.2025.04.001
45
Heparin. Reactions Weekly 2018; 1702(1) doi: 10.1007/s40278-018-46234-4
46
Zhen Yan, Feng Gao, Jiang Xie, Jie Zhang. Incidence and risk factors of colorectal delayed post‐polypectomy bleeding in patients taking antithrombotics. Journal of Digestive Diseases 2021; 22(8) doi: 10.1111/1751-2980.13034
47
Jiaxuan Zuo, Wei Jiang, Lumei Wang, Kaiqi Yang, Peng Li, Shutian Zhang, Rui Cheng. Contemporary approaches in the peri-endoscopic management of antithrombotic agents: current paradigms, challenges, and prognostications. Therapeutic Advances in Gastroenterology 2025; 18 doi: 10.1177/17562848251346869
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Seung Joo Kang, Chung Hyun Tae, Chang Seok Bang, Cheol Min Shin, Young-Hoon Jeong, Miyoung Choi, Joo Ha Hwang, Yutaka Saito, Philip Wai Yan Chiu, Rungsun Rerknimitr, Christopher Khor, Vu Van Khien, Kee Don Choi, Ki-Nam Shim, Geun Am Song, Oh Young Lee. IDEN Consensus on Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy. The Korean Journal of Gastroenterology 2024; 83(6) doi: 10.4166/kjg.2024.040
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