Association of marked prolongation of prothrombin time-international normalized ratio with warfarin and endoscopic nasobiliary drainage for biliary fistula after left hemihepatectomy.


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
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.

Identifiants

pubmed: 32208539
doi: 10.1111/jcpt.13137
doi:

Substances chimiques

Warfarin 5Q7ZVV76EI

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

815-818

Informations de copyright

© 2020 John Wiley & Sons Ltd.

Références

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Auteurs

Takafumi Nakazawa (T)

Division of Pharmacy, Chiba University Hospital, Chiba-shi, Japan.

Shingo Yamazaki (S)

Division of Pharmacy, Chiba University Hospital, Chiba-shi, Japan.

Masashi Uchida (M)

Division of Pharmacy, Chiba University Hospital, Chiba-shi, Japan.

Takaaki Suzuki (T)

Division of Pharmacy, Chiba University Hospital, Chiba-shi, Japan.

Takako Nakamura (T)

Division of Pharmacy, Chiba University Hospital, Chiba-shi, Japan.

Tsukasa Takayashiki (T)

Department of General Surgery, Graduate School of Medicine, Chiba University, Chiba-shi, Japan.

Masayuki Ohtsuka (M)

Department of General Surgery, Graduate School of Medicine, Chiba University, Chiba-shi, Japan.

Itsuko Ishii (I)

Division of Pharmacy, Chiba University Hospital, Chiba-shi, Japan.

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