Association of marked prolongation of prothrombin time-international normalized ratio with warfarin and endoscopic nasobiliary drainage for biliary fistula after left hemihepatectomy.
biliary drainage
prothrombin time-international normalized ratio
vitamin K deficiency
warfarin
Journal
Journal of clinical pharmacy and therapeutics
ISSN: 1365-2710
Titre abrégé: J Clin Pharm Ther
Pays: England
ID NLM: 8704308
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
27
01
2020
revised:
07
02
2020
accepted:
09
03
2020
pubmed:
26
3
2020
medline:
13
4
2021
entrez:
26
3
2020
Statut:
ppublish
Résumé
Vitamin K deficiency is known to cause impaired coagulation. We report a case of marked prolongation of the prothrombin time-international normalized ratio (PT-INR) associated with warfarin and vitamin K deficiency caused by endoscopic nasobiliary drainage (ENBD). Oral administration of warfarin was initiated in a 67-year-old man after left hemihepatectomy. He developed a biliary fistula after surgery that was treated by ENBD, which resulted in significant prolongation of the PT-INR. The effect of warfarin was enhanced in this patient due to reduced absorption of vitamin K as a result of external biliary drainage.
Substances chimiques
Warfarin
5Q7ZVV76EI
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
815-818Informations de copyright
© 2020 John Wiley & Sons Ltd.
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