Hemobilia: another complication associated with anti-thrombotic therapy
It is generally accepted that anti-thrombotic therapy increases the risk of gastrointestinal bleeding, and concurrent therapy with a proton-pump inhibitor is the standard treatment for patients receiving aspirin. Therefore, much attention has been paid to the prevention of gastrointestinal bleeding...
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| Published in | Clinical journal of gastroenterology Vol. 4; no. 1; pp. 49 - 51 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
Springer Japan
01.02.2011
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1865-7257 1865-7265 |
| DOI | 10.1007/s12328-010-0198-1 |
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| Abstract | It is generally accepted that anti-thrombotic therapy increases the risk of gastrointestinal bleeding, and concurrent therapy with a proton-pump inhibitor is the standard treatment for patients receiving aspirin. Therefore, much attention has been paid to the prevention of gastrointestinal bleeding in such patients; however, it should be noted that patients on anti-thrombotic therapy always carry a risk of hemorrhage from any organ, including the gastrointestinal tract. Here, we present a case with formation of a common bile duct stone caused by hemobilia associated with anti-thrombotic therapy. This case suggests that we need to be aware of the possibility of intrabiliary hemorrhage as well as gastrointestinal bleeding in patients receiving anti-thrombotic therapy. Patients with such complications show a variety of symptoms including liver abscess, cholangitis, pancreatitis, and duodenal bleeding. |
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| AbstractList | It is generally accepted that anti-thrombotic therapy increases the risk of gastrointestinal bleeding, and concurrent therapy with a proton-pump inhibitor is the standard treatment for patients receiving aspirin. Therefore, much attention has been paid to the prevention of gastrointestinal bleeding in such patients; however, it should be noted that patients on anti-thrombotic therapy always carry a risk of hemorrhage from any organ, including the gastrointestinal tract. Here, we present a case with formation of a common bile duct stone caused by hemobilia associated with anti-thrombotic therapy. This case suggests that we need to be aware of the possibility of intrabiliary hemorrhage as well as gastrointestinal bleeding in patients receiving anti-thrombotic therapy. Patients with such complications show a variety of symptoms including liver abscess, cholangitis, pancreatitis, and duodenal bleeding.It is generally accepted that anti-thrombotic therapy increases the risk of gastrointestinal bleeding, and concurrent therapy with a proton-pump inhibitor is the standard treatment for patients receiving aspirin. Therefore, much attention has been paid to the prevention of gastrointestinal bleeding in such patients; however, it should be noted that patients on anti-thrombotic therapy always carry a risk of hemorrhage from any organ, including the gastrointestinal tract. Here, we present a case with formation of a common bile duct stone caused by hemobilia associated with anti-thrombotic therapy. This case suggests that we need to be aware of the possibility of intrabiliary hemorrhage as well as gastrointestinal bleeding in patients receiving anti-thrombotic therapy. Patients with such complications show a variety of symptoms including liver abscess, cholangitis, pancreatitis, and duodenal bleeding. It is generally accepted that anti-thrombotic therapy increases the risk of gastrointestinal bleeding, and concurrent therapy with a proton-pump inhibitor is the standard treatment for patients receiving aspirin. Therefore, much attention has been paid to the prevention of gastrointestinal bleeding in such patients; however, it should be noted that patients on anti-thrombotic therapy always carry a risk of hemorrhage from any organ, including the gastrointestinal tract. Here, we present a case with formation of a common bile duct stone caused by hemobilia associated with anti-thrombotic therapy. This case suggests that we need to be aware of the possibility of intrabiliary hemorrhage as well as gastrointestinal bleeding in patients receiving anti-thrombotic therapy. Patients with such complications show a variety of symptoms including liver abscess, cholangitis, pancreatitis, and duodenal bleeding. |
| Author | Uza, Norimitsu Hiramatsu, Yukiko Matsuura, Minoru Watanabe, Tomohiro Kodama, Yuzo Shiokawa, Masahiro Kurita, Akira Chiba, Tsutomu |
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| Keywords | Anti-thrombotic therapy Liver abscess Hemobilia |
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| References | Sandblom (CR5) 1986; 151 Bloechle, Izbicki, Rashed, el-Sefi, Hosch, Knoefel (CR6) 1994; 89 Luzuy, Reinberg, Kauszlaric, Anderegg, Droguett, Donati (CR9) 1987; 102 Gabata, Kadoya, Matsui, Kobayashi, Kawamori, Sanada (CR7) 2001; 176 Watanabe, Asano, Fichtner-Feigl, Gorelick, Tsuji, Matsumoto (CR8) 2010; 120 Derry, Loke (CR1) 2000; 321 Lai, Lam, Chu, Wong, Hui, Hu (CR2) 2002; 346 Green, Duell, Johnson, Jamieson (CR4) 2001; 88 Lanas, Bajador, Serrano, Fuentes, Carreno, Guardia (CR3) 2000; 343 MH Green (198_CR4) 2001; 88 KC Lai (198_CR2) 2002; 346 T Gabata (198_CR7) 2001; 176 S Derry (198_CR1) 2000; 321 T Watanabe (198_CR8) 2010; 120 C Bloechle (198_CR6) 1994; 89 F Luzuy (198_CR9) 1987; 102 A Lanas (198_CR3) 2000; 343 P Sandblom (198_CR5) 1986; 151 20389019 - J Clin Invest. 2010 May;120(5):1645-62 11222204 - AJR Am J Roentgenol. 2001 Mar;176(3):675-9 11412246 - Br J Surg. 2001 Jun;88(6):773-86 8079933 - Am J Gastroenterol. 1994 Sep;89(9):1537-40 11073508 - BMJ. 2000 Nov 11;321(7270):1183-7 10995862 - N Engl J Med. 2000 Sep 21;343(12):834-9 3313780 - Surgery. 1987 Nov;102(5):886-9 12087138 - N Engl J Med. 2002 Jun 27;346(26):2033-8 3521357 - Am J Surg. 1986 Jun;151(6):754-8 |
| References_xml | – volume: 343 start-page: 834 year: 2000 end-page: 839 ident: CR3 article-title: Nitrovasodilators, low-dose aspirin, other nonsteroidal antiinflammatory drugs, and the risk of upper gastrointestinal bleeding publication-title: N Engl J Med doi: 10.1056/NEJM200009213431202 – volume: 151 start-page: 754 year: 1986 end-page: 758 ident: CR5 article-title: Iatrogenic hemobilia publication-title: Am J Surg doi: 10.1016/0002-9610(86)90059-0 – volume: 321 start-page: 1183 year: 2000 end-page: 1187 ident: CR1 article-title: Risk of gastrointestinal haemorrhage with long term use of aspirin: meta-analysis publication-title: BMJ doi: 10.1136/bmj.321.7270.1183 – volume: 102 start-page: 886 year: 1987 end-page: 889 ident: CR9 article-title: Biliary calculi caused by hemobilia publication-title: Surgery – volume: 120 start-page: 1645 year: 2010 end-page: 1662 ident: CR8 article-title: NOD1 contributes to mouse host defense against via induction of type I IFN and activation of the ISGF3 signaling pathway publication-title: J Clin Invest doi: 10.1172/JCI39481 – volume: 88 start-page: 773 year: 2001 end-page: 786 ident: CR4 article-title: Haemobilia publication-title: Br J Surg doi: 10.1046/j.1365-2168.2001.01756.x – volume: 346 start-page: 2033 year: 2002 end-page: 2038 ident: CR2 article-title: Lansoprazole for the prevention of recurrences of ulcer complications from long-term low-dose aspirin use publication-title: N Engl J Med doi: 10.1056/NEJMoa012877 – volume: 89 start-page: 1537 year: 1994 end-page: 1540 ident: CR6 article-title: Hemobilia: presentation, diagnosis, and management publication-title: Am J Gastroenterol – volume: 176 start-page: 675 year: 2001 end-page: 679 ident: CR7 article-title: Dynamic CT of hepatic abscesses: significance of transient segmental enhancement publication-title: AJR Am J Roentgenol – volume: 321 start-page: 1183 year: 2000 ident: 198_CR1 publication-title: BMJ doi: 10.1136/bmj.321.7270.1183 – volume: 151 start-page: 754 year: 1986 ident: 198_CR5 publication-title: Am J Surg doi: 10.1016/0002-9610(86)90059-0 – volume: 88 start-page: 773 year: 2001 ident: 198_CR4 publication-title: Br J Surg doi: 10.1046/j.1365-2168.2001.01756.x – volume: 89 start-page: 1537 year: 1994 ident: 198_CR6 publication-title: Am J Gastroenterol – volume: 102 start-page: 886 year: 1987 ident: 198_CR9 publication-title: Surgery – volume: 346 start-page: 2033 year: 2002 ident: 198_CR2 publication-title: N Engl J Med doi: 10.1056/NEJMoa012877 – volume: 343 start-page: 834 year: 2000 ident: 198_CR3 publication-title: N Engl J Med doi: 10.1056/NEJM200009213431202 – volume: 120 start-page: 1645 year: 2010 ident: 198_CR8 publication-title: J Clin Invest doi: 10.1172/JCI39481 – volume: 176 start-page: 675 year: 2001 ident: 198_CR7 publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.176.3.1760675 – reference: 20389019 - J Clin Invest. 2010 May;120(5):1645-62 – reference: 11412246 - Br J Surg. 2001 Jun;88(6):773-86 – reference: 11222204 - AJR Am J Roentgenol. 2001 Mar;176(3):675-9 – reference: 3313780 - Surgery. 1987 Nov;102(5):886-9 – reference: 3521357 - Am J Surg. 1986 Jun;151(6):754-8 – reference: 10995862 - N Engl J Med. 2000 Sep 21;343(12):834-9 – reference: 11073508 - BMJ. 2000 Nov 11;321(7270):1183-7 – reference: 12087138 - N Engl J Med. 2002 Jun 27;346(26):2033-8 – reference: 8079933 - Am J Gastroenterol. 1994 Sep;89(9):1537-40 |
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| Title | Hemobilia: another complication associated with anti-thrombotic therapy |
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