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Articles Published Processes
10/16/2014 3:53:00 PM | Browse: 1182 | Download: 1400
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Received |
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2014-04-09 20:44 |
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Peer-Review Started |
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2014-04-10 18:55 |
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To Make the First Decision |
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2014-05-13 19:41 |
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Return for Revision |
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2014-05-21 08:24 |
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Revised |
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2014-06-08 00:00 |
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Second Decision |
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2014-07-11 17:05 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-07-11 17:11 |
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Articles in Press |
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2014-07-11 17:30 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-09-26 11:05 |
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Publish the Manuscript Online |
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2014-10-16 15:53 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Observational Study |
Article Title |
Epistaxis in end stage liver disease masquerading as severe upper gastrointestinal hemorrhage
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Manuscript Source |
Unsolicited Manuscript |
All Author List |
Marine Camus, Dennis M Jensen, Jason D Matthews, Gordon V Ohning, Thomas O Kovacs, Rome Jutabha, Kevin A Ghassemi, Gustavo A Machicado and Gareth S Dulai |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
National Institutes of Health |
41301 |
Veteran Administration Clinical Merit Review Grant |
to Dr Dennis M Jensen |
Philippe Foundation Grant |
to Dr. Marine Camus |
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Corresponding Author |
Marine Camus, MD, Assistant Professor, Department of Gastroenterology, Lariboisiere Hospital, APHP, 2 rue Ambroise Pare, 75010 Paris, France. marine.camus@gmail.com |
Key Words |
Epistaxis; Upper gastrointestinal bleeding; End stage liver disease; Cirrhosis; Nasogastric tube; Liver transplantation; Digestive bleeding; Nasal packing; Coagulopathy |
Core Tip |
Severe posterior nasopharyngeal epistaxis in hospitalized patients with end stage liver disease (ESLD): (1) is a diagnosis of exclusion that requires upper endoscopy to rule out common causes of upper gastrointestinal hemorrhage (UGIH); (2) can usually be effectively treated with nasal packing and correction of coagulopathy; (3) was the diagnosis of the bleeding source in 4.3 % of cirrhotic patients with a suspected UGIH; and (4) is associated with a high rate of mortality (63%) in those not receiving liver transplantation. Physicians managing patients with ESLD should be aware that epistaxis can masquerade as massive UGIH, particularly in those with severe coagulopathy. |
Publish Date |
2014-10-16 15:53 |
Citation |
Camus M, Jensen DM, Matthews JD, Ohning GV, Kovacs TO, Jutabha R, Ghassemi KA, Machicado GA, Dulai GS. Epistaxis in end stage liver disease masquerading as severe upper gastrointestinal hemorrhage. World J Gastroenterol 2014; 20(38): 13993-13998 |
URL |
http://www.wjgnet.com/1007-9327/full/v20/i38/13993.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v20.i38.13993 |
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