ENDOSCOPY

ANTIBIOTIC PROPHYLAXIS IN ENDOSCOPY
Certain endoscopic procedures are associated with a significant bacteraemia, may lead to bacterial endocarditis or infection of surgical prostheses. Patients with high-risk conditions such as prosthetic heart valves or a previous history of infective endocarditis should have prophylaxis for all endoscopic
procedures .Patients with severe neutropenia may also require antibiotic prophylaxis for endoscopy.
A standard protocol to prevent infective endocarditis is 1 g of amoxicillin and 120 mg of gentamicin intravenously 5–10 min before the procedure. Teicoplanin 400 mg intravenously can be used in patients who are allergic to penicillin.
Patients with chronic liver disease and ascites undergoing variceal sclerotherapy should receive antibiotic prophylaxis to prevent bacterial peritonitis
ANTICOAGULATION IN PATIENTS UNDERGOING ENDOSCOPY
Many patients undergoing endoscopy may be taking medication that interferes with normal haemostasis, such as warfarin, heparin, clopidogrel or aspirin