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10/9/2026 4:02:36 AM | Browse: 1 | Download: 2
Publication Name World Journal of Clinical Pediatrics
Manuscript ID 119970
Country United Arab Emirates
Received
2026-02-12 01:22
Peer-Review Started
2026-02-12 01:27
First Decision by Editorial Office Director
2026-02-25 08:01
Return for Revision
2026-02-25 08:01
Revised
2026-02-26 21:13
Publication Fee Transferred
Second Decision by Editor
2026-05-07 03:24
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-07 09:59
Articles in Press
2026-05-07 09:59
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-09-10 09:07
Publish the Manuscript Online
2026-10-09 04:02
ISSN 2219-2808 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Cardiac & Cardiovascular Systems
Manuscript Type Evidence Review
Article Title Fontan-related protein-losing enteropathy: A comprehensive review of pathophysiology and current therapies
Manuscript Source Invited Manuscript
All Author List Eman Al Atrash, Doaa Zourob, Huda Alghfeli and Antoine AbdelMassih
ORCID
Author(s) ORCID Number
Eman Al Atrash http://orcid.org/0000-0002-5568-3721
Doaa Zourob http://orcid.org/0009-0004-7899-3652
Antoine AbdelMassih http://orcid.org/0000-0001-8876-3229
Funding Agency and Grant Number
Corresponding Author Eman Al Atrash, MD, Division of Pediatric Gastroenterology, Department of Pediatrics, Mediclinic Airport Hospital, Airport Road, Abu Dhabi 971, United Arab Emirates. emanalatrash8@gmail.com
Key Words Protein-losing enteropathy; Hypoalbuminemia; Intestinal lymphangiectasia; Fontan circulation; Lymphatic disorders
Core Tip Fontan-associated protein-losing enteropathy is a rare but life-threatening complication of Fontan circulation, driven by abnormal hemodynamics, lymphatic dysfunction, and intestinal barrier injury. This review synthesizes current understanding of protein-losing enteropathy pathophysiology and highlights contemporary management strategies, including nutritional optimization, targeted pharmacologic therapies, and emerging lymphatic interventions. Particular emphasis is placed on individualized, mechanism-based treatment and the evolving role of advanced imaging and interventional techniques. Improved recognition and multidisciplinary care have enhanced outcomes; however, refractory disease remains challenging, underscoring the need for novel therapeutic approaches.
Publish Date 2026-10-09 04:02
Citation

Al Atrash E, Zourob D, Alghfeli H, AbdelMassih A. Fontan-related protein-losing enteropathy: A comprehensive review of pathophysiology and current therapies. World J Clin Pediatr 2026; 15(4): 119970

URL https://www.wjgnet.com/2219-2808/full/v15/i4/119970.htm
DOI https://doi.org/10.5409/wjcp.119970
Full Article (PDF) WJCP-15-119970-with-cover.pdf
Manuscript File 119970_Auto_Edited_014945.docx
Answering Reviewers 119970-answering-reviewers.pdf
Audio Core Tip 119970-audio.m4a
Conflict-of-Interest Disclosure Form 119970-conflict-of-interest-statement.pdf
Copyright License Agreement 119970-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 119970-non-native-speakers.pdf
Peer-review Report 119970-peer-reviews.pdf
Scientific Misconduct Check 119970-scientific-misconduct-check.png
CrossCheck Report 119970-crosscheck-report.pdf