How should abnormal coagulation be managed before endoscopic procedures?

How should abnormal coagulation be managed before endoscopic procedures?

• A. Do not modify anticoagulation prior to procedure
• B. Double-dose anticoagulation to prevent bleeding
• C. Stop all anticoagulation permanently
• D. Correct coagulopathy (vitamin K, platelets); temporarily hold or bridge anticoagulation; use mechanical or topical hemostasis; resume therapy according to bleeding risk

Answer: (D)