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Endoscopy. The Management of Anticoagulation and Antiplatelet Therapy endoscopic procedures (adapted from the BSG 2016 guidelines)2. 4.0 Warfarin. For low-risk endoscopic procedures we suggest that warfarin therapy should be continued (low quality evidence, moderate recommendation). It should be ensured that the INR does not exceed the therapeutic range in the week prior to the procedure (low quality evidence, strong recommendation). DIRECT ORAL ANTICOAGULANTS DOAC For low-risk endoscopic procedures we including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines.18 Aug 2018 Several endoscopy guidelines recommend that warfarin be A position statement of the British Society of Gastroenterology (BSG) and Gastroscopy and antiplatelet / anticoagulant therapy: Clinical Guideline. British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Please refer to fig 1 for an algorithmic representation of the recommendations, and tables 1–3 for a risk stratification of endoscopic procedures and medical P2Y12 receptor antagonists (clopidogrel, prasugrel, ticagrelor) For low-risk endoscopic procedures we recommend continuing P2Y12 receptor antagonists as single or dual antiplatelet therapy (low quality evidence, strong recommendation); For high-risk endoscopic procedures in patients at low thrombotic risk, we recommend prasugrel, ticagrelor) For low-risk endoscopic procedures we recommend continuing P2Y12 receptor antagonists as single or dual antiplatelet therapy (low quality evidence, strong recommendation); For high-risk endoscopic procedures in patients at low thrombotic risk, we recommend discontinuing P2Y12 receptor antagonists 24 Jan 2019 anticoagulants: British Society of Gastroenterology. (BSG) and European Society of Gastrointestinal. Endoscopy (ESGE) guidelines. Andrew Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct The advice for warfarin is fundamentally unchanged from BSG 2008 guidance.