Evidence map›Paper›PMID 34359080›Full record

GuidelineEndoscopy2021

Endoscopy in patients on antiplatelet or anticoagulant therapy: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guideline update.

Andrew M Veitch, Franco Radaelli, Raza Alikhan, Jean-Marc Dumonceau, Diane Eaton, Jo Jerrome, Will Lester, David Nylander, Mo Thoufeeq, Geoffroy Vanbiervliet and 2 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 5 pooled it
13.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 5 syntheses or guidelines pooled it, 125 citations in OpenAlex.

  1. Guideline
  2. Safety of Anticoagulation When Undergoing Endoscopic Variceal Ligation: A Systematic Review and Meta-Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Managing bleeds on anticoagulant therapy: a practical guide for clinicians.European heart journal. Acute cardiovascular care · 2026
    Review
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Observational
  17. Review
  18. Is endoscopic retrograde cholangiopancreatography a reliable procedure in advanced age? A single tertiary center experience.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 11 institutions in 5 countries.

Andrew M VeitchDepartment of Gastroenterology, Royal Wolverhampton NHS Trust, Wolverhampton, United Kingdom.
Franco RadaelliGastroenterology Department, Valduce Hospital, Como, Italy.
Raza AlikhanDepartment of Haematology Cardiff and Vale University Health Board, Cardiff, United Kingdom.
Jean-Marc DumonceauDepartment of Gastroenterology, Charleroi University Hospitals, Charleroi, Belgium.ORCID 0000-0002-4802-4779
Diane EatonAnticoagulation UK, London, United Kingdom.
Jo JerromeThrombosis UK, Llanwrda, United Kingdom.
Will LesterDepartment of Haematology University Hospitals Birmingham NHS Foundation Trust, Birmingham.
David NylanderDepartment of Gastroenterology, The Newcastle-upon-Tyne NHS Foundation Trust, Newcastle-upon-Tyne.
Mo ThoufeeqDepartment of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield.
Geoffroy VanbiervlietPôle digestif, Hôpital Universitaire L'Archet 2, Nice, France.
James R WilkinsonDepartment of Interventional Cardiology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Jeanin E van HooftDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, Netherlands.
Cardiff and Vale University Health Board · GBGrand Charleroi Hospital · BEHôpital l'Archet · FRLeiden University Medical Center · NLNewcastle upon Tyne Hospitals NHS Foundation Trust · GBOspedale Valduce · ITSheffield Teaching Hospitals NHS Foundation Trust · GBThe Royal Wolverhampton NHS Trust · GBThrombosis Research Institute · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a collaboration between the British Society of Gastroenterology (BSG) and the European Society of Gastrointestinal Endoscopy (ESGE), and is a scheduled update of their 2016 guideline on endoscopy in patients on antiplatelet or anticoagulant therapy. The guideline development committee included representatives from the British Society of Haematology, the British Cardiovascular Intervention Society, and two patient representatives from the charities Anticoagulation UK and Thrombosis UK, as well as gastroenterologists. The process conformed to AGREE II principles, and the quality of evidence and strength of recommendations were derived using GRADE methodology. Prior to submission for publication, consultation was made with all member societies of ESGE, including BSG. Evidence-based revisions have been made to the risk categories for endoscopic procedures, and to the categories for risks of thrombosis. In particular a more detailed risk analysis for atrial fibrillation has been employed, and the recommendations for direct oral anticoagulants have been strengthened in light of trial data published since the previous version. A section has been added on the management of patients presenting with acute GI haemorrhage. Important patient considerations are highlighted. Recommendations are based on the risk balance between thrombosis and haemorrhage in given situations.

Indexed as

GastroenterologyThrombosisAnticoagulantsEndoscopy, GastrointestinalGastrointestinal HemorrhageHumansAnticoagulants

Identifiers

PMID34359080
PMCPMC8390296
OpenAlexW3187128810

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.