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KMID : 0988920070050020200
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Intestinal Research
2007 Volume.5 No. 2 p.200 ~ p.203
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A Case of Stroke after Cessation of the Warfarin for a Colonoscopic Polypectomy
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Choi Ju-Young
Shim Ki-Nam
Jung Sung-Ae
Yoo Kwon
Baik Su-Jung
Moon Il-Hwan
Kim Seong-Eun
Kim Yoo-Ri
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Abstract
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It is not necessary to adjust anticoagulation for low-risk procedures, such as a gastroduodenoscopy or a colonoscopy with biopsy. For high-risk procedures of bleeding that include an endoscopic polypectomy and treatment of varices, warfarin should be discontinued for a few days. However, there is the risk of a thromboembolism by stopping warfarin treatment. We report a case of a 77-year-old man with atrial fibrillation, who stopped taking warfarin 4 days before a colonoscopic polypectomy, and developed an acute cerebral infarction after the procedure.
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KEYWORD
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Warfarin, Endoscopic Polypectomy, Cerebral Infarction
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