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VTE Prophylaxis: How to Optimize Patients on Anticoagulation and Avoid Infectious Complications

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Advanced Colonoscopy and Endoluminal Surgery

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Abstract

Colonoscopy is both a diagnostic and therapeutic tool. Periprocedural management of patients on anticoagulation remains a clinical challenge. A risk assessment balancing bleeding and thrombosis upon cessation of the medication is essential. Further, colonoscopic procedures may increase the risk of infectious complications in certain group of patients, mandating understanding of who might benefit from prophylaxis.

Published guidelines exist regarding issues of colonoscopy and VTE and infection prophylaxis; however, there is a paucity of data. In this chapter, the common anticoagulation medications and the recently published guidelines regarding periprocedural management of anticoagulation and antibiotic prophylaxis are reviewed.

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Author information

Authors and Affiliations

  1. Florida Hospital System, University of Central Florida, 601 East Rollins St, Orlando, FL, 32803, USA

    John R. T. Monson M.D., F.R.C.S., F.A.S.C.R.S.

  2. North West School of Surgery, Manchester, UK

    Reza Arsalani Zadeh M.D., F.R.C.S.

Authors
  1. John R. T. Monson M.D., F.R.C.S., F.A.S.C.R.S.
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  2. Reza Arsalani Zadeh M.D., F.R.C.S.
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Corresponding author

Correspondence to John R. T. Monson M.D., F.R.C.S., F.A.S.C.R.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery - Colon and Rectal Surgery, Keck School of Medicine of University of Southern California, Los Angeles, California, USA

    Sang W. Lee

  2. Division of Colon and Rectal Surgery Department of Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA

    Howard M. Ross

  3. Department of Colon and Rectal Surgery Northwell Health, Huntington Hospital Hofstra School of Medicine, Woodbury, New York, USA

    David E. Rivadeneira

  4. Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

    Scott R. Steele

  5. Division of Colorectal Surgery Department of Surgery, Columbia University, New York, New York, USA

    Daniel L. Feingold

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Monson, J.R.T., Zadeh, R.A. (2017). VTE Prophylaxis: How to Optimize Patients on Anticoagulation and Avoid Infectious Complications. In: Lee, S., Ross, H., Rivadeneira, D., Steele, S., Feingold, D. (eds) Advanced Colonoscopy and Endoluminal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-48370-2_6

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  • DOI: https://doi.org/10.1007/978-3-319-48370-2_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48368-9

  • Online ISBN: 978-3-319-48370-2

  • eBook Packages: MedicineMedicine (R0)

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