Systematic Reviews
Copyright ©The Author(s) 2015.
World J Gastroenterol. Dec 14, 2015; 21(46): 13166-13176
Published online Dec 14, 2015. doi: 10.3748/wjg.v21.i46.13166
Table 1 Comparison of United States and British guidelines for endoscopy in thrombocytopenic and neutropenic patients
US guidelinesBritish guidelines
Thrombocytopenia and endoscopyASGE: Acknowledge limited data. Platelet threshold 20000/mm3 for diagnostic endoscopy; 50000/mm3 if biopsies performedBSG: Ensure platelet support is available before endoscopic intervention when platelet count is < 50000-80000/mm3
Neutropenia and endoscopyASGE: Recommend considering antibiotic in immunosuppressed patients undergoing a high-risk procedureBSG: Recommend antibiotic prophylaxis for ANC < 500/mm3 and undergoing a high risk procedure (based on risk of bacteremia in immunocompetent patients)