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Articles Published Processes
1/16/2020 10:11:20 AM | Browse: 884 | Download: 1274
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Received |
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2019-09-06 01:04 |
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Peer-Review Started |
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2019-09-06 01:04 |
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To Make the First Decision |
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2019-09-29 03:07 |
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Return for Revision |
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2019-10-14 02:58 |
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Revised |
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2019-11-23 21:27 |
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Second Decision |
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2019-12-13 10:40 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2019-12-15 06:06 |
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Articles in Press |
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2019-12-15 06:06 |
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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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2019-12-29 06:35 |
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Publish the Manuscript Online |
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2020-01-16 10:11 |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Systematic Reviews |
| Article Title |
Splenic injuries secondary to colonoscopy: Rare but serious complication
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Waqas Ullah, Mamoon Ur Rashid, Asif Mehmood, Yousaf Zafar, Ishtiaq Hussain, Deepika Sarvepalli and Muhammad Khalid Hasan |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Mamoon Ur Rashid, MBBS, MD, Doctor, Doctor, Department of Internal Medicine, Advent Health Hospital, 2501 North Orange Avenue, Orlando, FL 32804, United States. mamoon.rashid.md@adventhealth.com |
| Key Words |
Colonoscopy; Spleen; Splenic rupture; Systematic review; Splenic injuries; |
| Core Tip |
Colonoscopy is a safe diagnostic and therapeutic procedure for evaluation of large bowel diseases. Rarely, a splenic Injury can occur. We perform a structured search on four databases and selected 45 articles with 68 patients. The reason for colonoscopy, presentation of patient with spleen injury, types of injury, diagnosis, management and outcomes of patients were identified and analyzed. The most common reason for colonoscopy was screening (46%) followed by diagnostic colonoscopy (28%). Eighty seven percent of patients presented with abdominal pain. Patients with spleen rupture mostly required splenectomy (47%), while minor spleen hematomas and lacerations were managed conservatively (38%). Six percent of the patients were managed with proximal splenic artery splenic embolization and 4% were managed with laparoscopic repair. The overall mortality was 10% while 77% had complete recovery. Spleen rupture due to colonoscopy is a significant concern and is associated with high mortality. The management of the patients can be individualized based on clinical presentation. |
| Publish Date |
2020-01-16 10:11 |
| Citation |
Ullah W, Rashid MR, Mehmood A, Zafar Y, Hussain I, Sarvepalli D, Hasan MK. Splenic injuries secondary to colonoscopy: Rare but serious complication. World J Gastrointest Surg 2020; 12(2): 55-67 |
| URL |
https://www.wjgnet.com/1948-9366/full/v12/i2/55.htm |
| DOI |
https://dx.doi.org/10.4240/wjgs.v12.i2.55 |
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