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Timing of Antiplatelet and Anticoagulant Therapy Resumption Following Gastrointestinal Bleeding: A Systematic Review and Meta-Analysis

delete2026-07-10
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OA
AI
Y
Yihang Liu
Y
Yaxin Hu
S
Shangzheng Song
K
Kelvin K.F. Tsoi
J
Joseph J.�Y. Sung *
DOI:10.1016/j.cgh.2026.07.002delete
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Abstract

Abstract

En 中文
Gastrointestinal bleeding (GIB) is a major complication in patients receiving antithrombotic therapy. Following GIB, clinicians face a critical dilemma: resuming therapy risks rebleeding, while discontinuation increases thrombotic events and mortality. This meta-analysis aimed to quantify the risks and benefits of antithrombotic therapy resumption versus discontinuation following GIB, and to evaluate the impact of resumption timing on recurrent GIB, major vascular events, and all-cause mortality.
Keywords:
gastrointestinal bleeding
antiplatelet therapy
anticoagulant therapy
meta-analysis
major vascular events
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Journal

Clinical Gastroenterology and Hepatology cover
Clinical Gastroenterology and Hepatology
IF:
12
Papers:
9.6K
Citations:
3.1W

Organization

T
the chinese university of hong kong
Scholars:
3.6K
Papers: 1.8K
Citations: 0
N
Nanyang Technological University
Scholars:
4.9W
Papers: 4.7W
Citations: 8.1W