Safety of endoscopy in cancer patients with thrombocytopenia and neutropenia.

Endoscopic procedures are relatively safe in cancer patients with platelet count >50 × 10/μL. Nevertheless, a platelet count of ≥20 × 10/μL could be an appropriate threshold for platelet transfusion if 50 × 10/μL is difficult to achieve. The functional status of the patient, in the absence of the need for urgent or necessary endoscopic interventions, should be considered when deciding whether to perform endoscopy. The risk of procedure and the absolute neutrophil count did not seem to affect the outcomes.