This guideline deals primarily with elective endoscopic procedures. In the emergency situation of acute gastrointestinal haemorrhage, the immediate risk to the patient from haemorrhage may outweigh the risk of thrombosis as a result of discontinuing anticoagulant or antiplatelet therapy. If clopidogrel therapy for coronary artery stents needs to be discontinued in this context, then this should be limited to 5 days as the risk of stent thrombosis increases after this interval.
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