Routine tests of coagulation do not reflect bleeding risk in patients with cirrhosis and bleeding complications of these procedures are rare.
Conditions: Cirrhosis, abnormal coagulation
Procedures: Abdominal paracentesis, endoscopic variceal band ligation
Treatments: Fresh frozen plasma (FFP), vitamin K, platelets transfusion
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Sources
- Northup PG, et al. Coagulation in liver disease: a guide for the clinician. Clin Gastroenterol Hepatol. 2013 Sep;11(9):1064-74. (PubMed)
- Tripodi A, et al. The coagulopathy of chronic liver disease. N Engl J Med. 2011 Jul 14;365(2):147-56. (PubMed)
- Yates SG, et al. How do we transfuse blood components in cirrhotic patients undergoing gastrointestinal procedures? Transfusion. 2016 Apr;56(4):791-8. (PubMed)