A 72 year old man with atrial fibrillation on Warfarin presents with melaena and hypotension. An urgent OGD identifies a bleeding duodenal ulcer which...

Question

A 72 year old man with atrial fibrillation on Warfarin presents with melaena and hypotension. An urgent OGD identifies a bleeding duodenal ulcer which is successfully treated endoscopically. According to NICE and BSG guidance, when should Warfarin generally be restarted in a patient with high thrombotic risk after successful haemostasis?

Accepted Answer

Restart after 7 to 15 days once haemostasis is secure and bleeding risk reassessed

Answer

Never restart anticoagulation

Answer

Restart immediately the same day

Answer

Delay for at least 6 months

Answer

Switch to Aspirin indefinitely instead of Warfarin

uk-plab-1 MCQ (SBA): Restarting anticoagulation after GI bleed