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New oral anticoagulants and gastroenterology

Publication |
2018

Abstract

New oral anticoagulants, also known as direct oral anticoagulants due to their direct inhibitory effects towards thrombin or factorXa, represent a progressive group of antithrombotic drugs in clinical therapy. Regarding alimentary tract, it is necessary to respectthe pharmacokinetic processes of absorption and metabolic conversion of effective compounds to achieve the particular pharmacologicaleffect.

In addition, particular risks of bleeding, dyspeptic discomfort and hepatopathy are to be concerned too. Theevaluation of the actual risk of bleeding versus thrombotic complication introduces the special case of intervention endoscopicgastroenterology.