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Letters |1 September 1993

Decreasing Liver Biopsy Complications

Michael J. Kovacs, MD; Michael Keeney, MD; Ian Chin-Yee, MD

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TO THE EDITOR:
Janes and Lindor's [1] criteria for outpatient liver biopsy include a prothrombin time less than 14 seconds. Garcia-Tsao and Boyer [2] cite a prothrombin time prolonged less than 3 seconds and a bleeding time of 10 minutes. No mention was made of the bleeding history, probably the best predictor of postoperative bleeding [3]. Reliance by clinicians on the prothrombin time or bleeding time to predict postbiopsy bleeding is hampered by the difficulty in their use, interpretation, and generalizability.
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Kovacs MJ, Keeney M, Chin-Yee I. Decreasing Liver Biopsy Complications. Ann Intern Med. 1993;119:436–437. doi: 10.7326/0003-4819-119-5-199309010-00019

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Published: Ann Intern Med. 1993;119(5):436-437.

DOI: 10.7326/0003-4819-119-5-199309010-00019

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