A history of 2 colonic adenomas removed by polypectomy in 2008

Clinical Case: Mr D S is a 60-year-old man with a history of 2 colonic adenomas removed by polypectomy in 2008. He is coming for a follow-up colonoscopy +/_ polypectomy in two weeks. He is currently on Warfarin and Aspirin for a mitral stenosis and atria Clinical Case: Mr D S is a 60-year-old man with a history of 2 colonic adenomas removed by polypectomy in 2008. He is coming for a follow-up colonoscopy +/_ polypectomy in two weeks. He is currently on Warfarin and Aspirin for a mitral stenosis and atrial fibrillation. The result of blood tests the week before the procedure are: INR 2.7, Platelet count 100x109/L Creatinine 40 pmol/L Urea 10 mmol/L The rest of the tests are within normal range. describe the whole process that you would recommend to preparing this patient for the procedure. Explain the rationale behind your recommendations.