Risks After GI Bleeding in Anticoagulant, Antiplatelet Users Risks After GI Bleeding in Anticoagulant, Antiplatelet Users
When is it safe to resume aspirin or warfarin therapy after a major GI bleed?Alimentary Pharmacology &Therapeutics
Publication date: October 2020Source: Journal of the Formosan Medical Association, Volume 119, Issue 10Author(s): Po-Ting Lin, Wei Teng, Wen-Juei Jeng, Chun-Yen Lin
Conditions: Trauma Injury; Haemorrhagic Shock; Bleeding; Emergencies; Blood Transfusion; Massive Hemorrhage; Massive Transfusion; Adult; Bleeding Hemorrhage; Hemorrhage / Mortality; Cohort Study; Female; Male; Hospital Mortality; Humans; Models, Theore tical; Prognosis; Wounds and Injuries / Mortality Intervention: Other: Comparison of score performances (Overall performance, discrimination and calibration) Sponsor: &n...
Condition: Polyp, Colorectal Intervention: Drug: Tranexamic Acid Injection [Cyklokapron] Sponsor: Queen's University Recruiting
Authors: Solli GS, Sandbakk SB, Noordhof DA, Ihalainen JK, Sandbakk Ø Abstract PURPOSE: To investigate changes in self-reported physical fitness, performance, and side effects across the menstrual cycle (MC) phases among competitive endurance athletes and to describe their knowledge and communication with coaches about the MC. METHODS: The responses of 140 participants (older than 18 y) competing in biathlon or cross-country skiing at the (inter)national level were analyzed. Data were collected via an online questionnaire addressing participants' competitive level, training volume, MC history, physi...
In conclusion, a variety of embolization techniques may be applied for the treatment of pseudoaneurysm after PD, which have high technical and clinical success rates and small trauma. It is recommended in emergency situations, but care should be taken to avoid serious technical complications. PMID: 32952628 [PubMed]
Authors: Martínez Camacho C, Navarro Barrios Á, Egea Valenzuela J Abstract A 71-year-old female with liver cirrhosis underwent a capsule endoscopy (CE) due to middle gastrointestinal bleeding. A neoplastic stenotic lesion showing stigmata of a recent hemorrhage was observed in jejunum and the capsule was retained. PMID: 32954784 [PubMed - as supplied by publisher]
We report the case of a patient with a Dieulafoy lesion within a duodenal diverticulum, showing the radiographic images. In this case the use of radiological techniques was of great help for diagnosis, bearing in mind that bleeding from this lesion may be intermittent and had not been revealed by the first endoscopic procedure. Since strong clinical suspicion persisted of active upper GI bleeding an angio-CT scan was performed, which allowed to orient diagnosis and rule out other causes of bleeding inaccessible to endoscopy. PMID: 32954778 [PubMed - as supplied by publisher]
CONCLUSIONS: this study provides a snapshot of the current situation in Spain, highlighting that the current management is poorly standardized and suboptimal in some cases. The results suggest the benefit of developing a consensus document to address some of these shortcomings and to advance in the search for alternatives to PTs. PMID: 32954777 [PubMed - as supplied by publisher]
We present three cases of colonic ischemia that can be attributed to the hypercoagulable state related with SARS-CoV2 and disseminated intravascular coagulation. Three males aged 76, 68 and 56 with respiratory distress presented episodes of rectal bleeding, abdominal distension and signs of peritoneal irritation. Endoscopy (case 1) and computed tomography angiography revealed colonic ischemia. One patient (case 2) in which a computed tomography (CT) scan showed perforation of the gangrenous cecum underwent surgery. D-dimer levels were markedly increased (2,170, 2,100 and 7,360 ng/ml) in all three patients. All three patien...
ConclusionDiscontinuing ASA after short-term use for the treatment of patients with T2DM following PCI was not associated with any increased cardiovascular outcomes. Also, discontinuing ASA after short-term use and continuing the use of a P2Y12 inhibitor were somewhat safer in these patients with T2DM. Further research should follow.