{"id":213,"date":"2010-10-15T12:02:41","date_gmt":"2010-10-15T16:02:41","guid":{"rendered":"http:\/\/blogstemp3.wpengine.com\/?p=213"},"modified":"2010-10-15T12:02:41","modified_gmt":"2010-10-15T16:02:41","slug":"plavix-clopidogrel-and-endoscopy-the-great-dilemma","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/plavix-clopidogrel-and-endoscopy-the-great-dilemma\/2010\/10\/15\/","title":{"rendered":"Plavix (Clopidogrel) and endoscopy: the great dilemma!"},"content":{"rendered":"<p>Plavix and other platelet inhibitors have saved countless lives by preventing cardiovascular events. But those same inhibitory effects on platelets theoretically could increase bleeding risks after GI procedures that include biopsy or tissue removal (polypectomy).<br \/>\nUnfortunately there are little data regarding whether bleeding risk is increased when patients on Plavix undergo endoscopy procedures. The clinical choices are either to stop the Plavix and maybe decrease the risk of bleeding post procedure but also maybe increase the patient\u2019s risk for a cardiovascular complication or continue the Plavix and possibly increase the risk of GI bleeding but protect their heart and brain!<br \/>\nWhat a dilemma and little of no data to guide us. So what do you do: stop Plavix or perform the procedure on the drug? Let us know how you are dealing with this difficult dilemma.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Plavix and other platelet inhibitors have saved countless lives by preventing cardiovascular events. But those same inhibitory effects on platelets theoretically could increase bleeding risks after GI procedures that include biopsy or tissue removal (polypectomy). Unfortunately there are little data regarding whether bleeding risk is increased when patients on Plavix undergo endoscopy procedures. The clinical [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-213","post","type-post","status-publish","format-standard","hentry","category-endoscopy"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/213","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/comments?post=213"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/213\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/media?parent=213"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/categories?post=213"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/tags?post=213"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}