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Articles Published Processes
9/1/2014 5:04:00 PM | Browse: 1137 | Download: 1054
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Received |
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2013-09-25 08:09 |
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Peer-Review Started |
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2013-09-25 10:54 |
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To Make the First Decision |
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2013-12-26 10:57 |
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Return for Revision |
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2014-01-17 10:22 |
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Revised |
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2014-02-09 15:12 |
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Second Decision |
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2014-02-20 15:16 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-02-20 16:06 |
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Articles in Press |
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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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2014-03-03 10:43 |
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Publish the Manuscript Online |
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2014-03-12 14:46 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Topic Highlights |
Article Title |
Management of thrombocytopenia due to liver cirrhosis: A review
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Manuscript Source |
Invited Manuscript |
All Author List |
Hiromitsu Hayashi, Toru Beppu, Ken Shirabe, Yoshihiko Maehara and Hideo Baba |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Grant-in-Aid for Young Scientists, Ministry of Education, Culture, Sports, Science and Technology of Japan |
24791434 (to Hayashi H) |
Takeda Science Foundation, Japan |
to Hayashi H |
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Corresponding Author |
Hideo Baba, MD, PhD, FACS, Professor, Department of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan. hdobaba@kumamoto-u.ac.jp |
Key Words |
Liver cirrhosis; Thrombocytopenia; Thrombopoietin; Partial splenic embolization; Splenectomy |
Core Tip |
The major mechanisms for thrombocytopenia in liver cirrhosis are (1) platelet sequestration in the spleen; and (2) decreased production of thrombopoietin in the liver. For thrombocytopenia that is caused by platelet sequestration in the spleen, partial splenic embolization or laparoscopic splenectomy are effective. Thrombopoietin agonists and targeted agents are alternative tools for noninvasively treating thrombocytopenia due to decreased thrombopoietin production, although their ability to improve thrombocytopenia is under investigation in clinical trials. In this review, we describe the current management of thrombocytopenia due to liver cirrhosis, and we propose the novel concept of using the splenic volume to discern the primary cause of thrombocytopenia due to liver cirrhosis. |
Publish Date |
2014-03-12 14:46 |
Citation |
Hayashi H, Beppu T, Shirabe K, Maehara Y, Baba H. Management of thrombocytopenia due to liver cirrhosis: A review. World J Gastroenterol 2014; 20(10): 2595-2605 |
URL |
http://www.wjgnet.com/1007-9327/full/v20/i10/2595.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v20.i10.2595 |
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