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Articles Published Processes
9/28/2020 7:42:41 AM | Browse: 724 | Download: 1321
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Received |
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2020-06-05 16:42 |
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Peer-Review Started |
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2020-06-05 16:43 |
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To Make the First Decision |
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Return for Revision |
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2020-07-25 23:06 |
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Revised |
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2020-07-31 16:56 |
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Second Decision |
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2020-08-28 11:05 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2020-08-29 02:14 |
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Articles in Press |
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2020-08-29 02:14 |
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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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2020-09-27 00:43 |
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Publish the Manuscript Online |
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2020-09-28 07:42 |
| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Review |
| Article Title |
Transjugular intrahepatic portosystemic shunt in cirrhosis: An exhaustive critical update
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Sasidharan Rajesh, Tom George, Cyriac Abby Philips, Rizwan Ahamed, Sandeep Kumbar, Narain Mohan, Meera Mohanan and Philip Augustine |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Cyriac Abby Philips, MBBS, MD, Consultant Physician-Scientist, The Liver Unit and Monarch Liver Lab, Cochin Gastroenterology Group, Ernakulam Medical Center, NH-Bypass, Palarivattom, Kochi 682028, Kerala, India. abbyphilips@gmail.com |
| Key Words |
Early transjugular portosystemic shunt; Preemptive transjugular intrahepatic portosystemic shunt; Portal hypertension; Esophageal varices; Gastric varices; Refractory ascites |
| Core Tip |
Covered transjugular intrahepatic portosystemic shunt has proven effective in ameliorating the symptoms associated with cirrhosis and portal hypertension in a subset of patients. However, hepatic encephalopathy (HE) and deterioration of liver function remain a concern. The meticulous selection of patients is the most fruitful measure to improve patient outcomes. While patients having preserved hepatic and renal functions and without any prior history of, HE and cardiopulmonary disease are ideal candidates, patients with high liver disease severity scores, poor cardiac reserve, and risk of HE should be considered for transjugular intrahepatic portosystemic shunt only as a last resort or a bridge to transplant. With the advent of controlled expansion stent, and improvements in patient selection criteria, the incidence of HE and early liver failure is expected to reduce further. |
| Publish Date |
2020-09-28 07:42 |
| Citation |
Rajesh S, George T, Philips CA, Ahamed R, Kumbar S, Mohan N, Mohanan M, Augustine P. Transjugular intrahepatic portosystemic shunt in cirrhosis: An exhaustive critical update. World J Gastroenterol 2020; 26(37): 5561-5596 |
| URL |
https://www.wjgnet.com/1007-9327/full/v26/i37/5561.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v26.i37.5561 |
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