Perioperative Assessment and Optimization in Major Colorectal Surgery: Medication Management

Abstract The colorectal surgeon is often faced with medications that can be challenging to manage in the perioperative period. In the era of novel agents for anticoagulation and immunotherapies for inflammatory bowel disease and malignancy, understanding how to advise patients about these medication...

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Bibliographic Details
Published in:Clinics in colon and rectal surgery 2023-05, Vol.36 (3), p.210-217
Main Authors: Kane, William J., Berry, Puja Shah
Format: Article
Language:English
Subjects:
Review Article
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Summary:Abstract The colorectal surgeon is often faced with medications that can be challenging to manage in the perioperative period. In the era of novel agents for anticoagulation and immunotherapies for inflammatory bowel disease and malignancy, understanding how to advise patients about these medications has become increasingly complex. Here, we aim to provide clarity regarding the use of these agents and their perioperative management, with a particular focus on when to stop and restart them perioperatively. This review will begin with the management of both nonbiologic and biologic therapies used in the treatment of inflammatory bowel disease and malignancy. Then, discussion will shift to anticoagulant and antiplatelet medications, including their associated reversal agents. Upon finishing this review, the reader will have gained an increased familiarity with the management of common medications requiring modification by colorectal surgeons in the perioperative period.
ISSN:1531-0043
1530-9681
DOI:10.1055/s-0043-1761156