Help
Subscribe


Submit Videos to GastroHep Read For FREE - Our full range of review articles
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Guido Tytgat Profile of Pete Peterson Profile of Peter Cotton Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

New generation of oral anticoagulants for gastrointestinal bleeding

A new generation of oral anticoagulants, which includes thrombin and factor Xa inhibitors, has been shown to be effective, for gastrointestinal bleeding, reports the latest issue of Gastroenterology.

News image

Patients who require oral anticoagulants therapy frequently have significant comorbidities and may also take aspirin and/or thienopyridines.

Dr Lisanne Holster and colleagues from The Netherlands performed a systematic review and meta-analysis of the risk of gastrointestinal bleeding and clinically relevant bleeding in patients taking new generation of oral anticoagulants.

The team searched MEDLINE, EMbase, and the Cochrane library without language restrictions.

The researchers analyzed data from 43 randomized controlled trials that compared new generation of oral anticoagulants with standard care for risk of bleeding.

 

For thromboprophylaxis after orthopedic surgery the odds ratio was 0.8
Gastroenterology

The overall odds ratios for gastrointestinal bleeding among patients taking new generation of oral anticoagulants was 1.45 , but there was substantial heterogeneity among studies.

For thromboprophylaxis after orthopedic surgery the odds ratio was 0.8, for treatment of venous thrombosis the odds ratio was 1.6, and for acute coronary syndrome the odds ratio was 5.2.

Among the drugs studied, the odds ratio for apixaban was 1.2, the odds ratio for dabigatran was 1.6, the odds ratio for edoxaban was 0.3, and the odds ratios for rivaroxaban was 1.5.

The team found that the overall odds ratios for clinically relevant bleeding in patients was 1.16, with similar trends among subgroups.

The team comments, "Studies on treatment of venous thrombosis or acute coronary syndrome have shown that patients treated with oral anticoagulants therapy have an increased risk of gastrointestinal bleed, compared with those who receive standard care."

"Better reporting of gastrointestinal bleeding events in future trials could allow stratification of patients for therapy with gastroprotective agents."

Gastroenterology 2013: 145(1): 105-112
16 July 2013

Go to top of page Email this page Email this page to a colleague

 25 April 2014

Advanced search
 25 April 2014 
Histologic scoring system for alcoholic hepatitis
 25 April 2014 
Genetic factors and viral hepatitis outcomes
 25 April 2014 
Program to train physician extenders for Barrett's endoscopy
 24 April 2014 
Vitamin D levels in adults with Crohn's disease
 24 April 2014 
Gut microbiota in IBS
 24 April 2014 
Imaging liver fat in children
 23 April 2014 
Colorectal cancer risk in MUTYH mutation carriers
 23 April 2014 
Fecal microbiota transplantation therapy
 23 April 2014 
Cancer risk after resection of polypoid dysplasia
 22 April 2014 
Endoscopy guidelines to select patients for colonoscopy
 22 April 2014 
PPI use and cancer in Barrett's
 22 April 2014 
Ledipasvir and sofosbuvir for HCV genotype 1
 17 April 2014 
Screening for low bone mineral density among ulcerative colitis
 17 April 2014 
Diabetes mellitus and acute pancreatitis
 17 April 2014 
Bowel cleansing for colonoscopy
 16 April 2014 
Evaluating pharmacologic agents in IBS
 16 April 2014 
Isotretinoin and IBD risk
 16 April 2014 
Mortality in bleeding Mallory-Weiss syndrome vs peptic ulcer bleeding
 15 April 2014 
Dietary fat and risk of IBD
 15 April 2014 
Quality of life in microscopic colitis
 15 April 2014 
New prognostic score for cirrhosis
 14 April 2014 

5-aminosalicylates in early pregnancy and congenital malformation risk

 14 April 2014 
Changing liver cancer mortality rates in the United States
 14 April 2014 
Inflammatory sacroiliitis by MRI in IBD
 11 April 2014 
H pylori resistance to antibiotics
 11 April 2014 
Predictors of corticosteroid treatment outcomes for ulcerative colitis
 11 April 2014 
Antibiotic combination therapy for ulcerative colitis
 10 April 2014 
Mortality in Crohn's disease
 10 April 2014 
Prophylaxis against venous thromboembolism in hospitalized ulcerative colitis
 10 April 2014 
Probiotic treatment and infant colic
 09 April 2014 
Preventing death in general intensive care
 09 April 2014 
Neoplasm risk after polypectomy
 09 April 2014 
Disclosure program and gastroenterology-related claims
 08 April 2014 

Regurgitation and health-related quality of life in GERD

 08 April 2014 
H. pylori resistance to antibiotics
 08 April 2014 
Management of chronic diarrhea
 07 April 2014 
Gastrointestinal angiodysplastic lesions
 07 April 2014 
Meat intake and liver cancer
 07 April 2014 
Adenoma detection and colorectal cancer risk
 04 April 2014 
Stool DNA tests for colorectal cancer
 04 April 2014 
PET-CT predicts outcome in colorectal liver metastases
 04 April 2014 

Prophylaxis of post-ERCP pancreatitis

 03 April 2014 
Management of esophageal or gastric variceal bleeding
 03 April 2014 
Exclusionary diets for IBD
 03 April 2014 
Mortality with chronic pancreatitis
 02 April 2014 
Disease course of early-onset pediatric IBD
 02 April 2014 
Risk of liver fibrosis progression in chronic hep B
 02 April 2014 
Colorectal cancer and patient survival
 01 April 2014 
Outcomes in patients with Hep C
 01 April 2014 
Diagnosis of functional dyspepsia
 01 April 2014 
Genetic risk factors for stenosis and infections in primary sclerosing cholangitis
 31 March 2014 
Diet-gene interactions and Crohn's
 31 March 2014 
Transjugular intrahepatic portosystemic stent-shunts in Budd–Chiari syndrome
 31 March 2014 
Hepatic decompensation in antiretroviral-treated patients
 28 March 2014 
Glucocorticoids and mortality after colorectal cancer surgery
 28 March 2014 
Long-term metformin use and gastric cancer risk
 28 March 2014 
Distance from a liver transplant center and survival
 27 March 2014 
Radiofrequency ablation vs endoscopy for Barrett's
 27 March 2014 
Omega-3 fatty acid and Crohn's disease
 27 March 2014 
Thromboembolism prophylaxis in IBD

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2014 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us