Is it possible to undergo enteroscopy with low platelet count?

Jul 15, 2024 Source: Cainiu Health
Disease description:

I always have diarrhea, so I would like to have a small bowel endoscopy to determine the cause. May I ask if it is safe to undergo small bowel endoscopy with low platelet count?

Doctor's answer (1)
Dr. Liu Feng
Whether a patient with low platelet count can undergo enteroscopy needs to be determined based on the specific platelet value. Generally, if the platelet count is no lower than 50 and the patient's overall condition is stable, enteroscopy may be considered. However, potential bleeding risks during the procedure should be carefully evaluated, and appropriate preventive measures should be taken. If the platelet count is excessively low, such as below 80, performing enteroscopy is not recommended, as the patient's coagulation function may be impaired, increasing the risk of uncontrollable bleeding during the procedure and potentially leading to severe complications such as massive hemorrhage. For patients with low platelet counts, comprehensive evaluation under a physician's guidance is recommended. If necessary, platelet-increasing treatment may be administered first, and the enteroscopy can be considered once the platelet count returns to a safe range. Additionally, patients should avoid trauma and strenuous exercise in daily life to reduce the risk of bleeding.