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©2013 UpToDate ® Print Email Procedure-related bleeding risk from gastrointestinal procedures High-risk procedures Polypectomy or endoscopic resection Argon plasma coagulation and thermal ablative therapy Endoscopic sphincterotomy Pneumatic or bougie dilation of benign or malignant strictures Percutaneous endoscopic gastrostomy tube placement Endoscopic ultrasound (EUS)-guided fine-needle aspiration Endoscopic hemostasis Therapeutic balloon assisted enteroscopy Tissue ablation by any technique Cystgastrostomy Treatment of varices Low-risk procedures Diagnostic upper endoscopy, flexible sigmoidoscopy, and colonoscopy (including biopsies) Diagnostic endoscopic retrograde cholangiopancreatography (ERCP) Biliary stent insertion without endoscopic sphincterotomy Endosonography Push enteroscopy and diagnostic balloon assisted enteroscopy Enteral stent deployment without dilation Capsule endoscopy Original figure modified for this publication. Anderson MA, Ben-Menachem T, Gan SI, et al. Management of antithrombotic agents for endoscopic procedures. Gastrointest Endosc 2009; 70:1060. Illustration used with the permission of Elsevier Inc. All rights reserved.