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Articles Published Processes
3/20/2021 2:13:53 AM | Browse: 506 | Download: 986
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Received |
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2020-12-17 17:36 |
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Peer-Review Started |
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2020-12-17 17:37 |
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To Make the First Decision |
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Return for Revision |
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2021-01-25 03:24 |
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Revised |
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2021-01-31 10:55 |
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Second Decision |
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2021-03-02 03:40 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2021-03-10 16:36 |
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Articles in Press |
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2021-03-10 16:36 |
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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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2021-03-16 12:29 |
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Publish the Manuscript Online |
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2021-03-20 02:13 |
ISSN |
1948-5182 (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) 2021. 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 |
Minireviews |
Article Title |
Lymphatic dysfunction in advanced cirrhosis: Contextual perspective and clinical implications
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Manuscript Source |
Invited Manuscript |
All Author List |
Ramesh Kumar, Utpal Anand and Rajeev Nayan Priyadarshi |
ORCID |
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Funding Agency and Grant Number |
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Corresponding Author |
Ramesh Kumar, MD, Associate Professor, Department of Gastroenterology, All India Institute of Medical Sciences, Ansari Nagar, Patna 801507, Bihar, India. docrameshkr@gmail.com |
Key Words |
Lymphatic dysfunction; Cirrhosis; Lymphedema; Lymphangiectasia; Chylous ascites; Refractory ascites |
Core Tip |
Lymphatic dysfunction appears to play a significant role in the pathophysiology of advanced cirrhosis. Sustained portal hypertension, neurohormonal changes, and low-grade chronic inflammation have been implicated in causing lymphatic dysfunction in advanced cirrhosis, leading to worsening of ascites, lymphedema, and abnormal lipid transport; it also results in increased susceptibility to infections. Chylous ascites and intestinal lymphangiectasia are the rare manifestations of lymphatic dysfunction in cirrhosis, leading to loss of protein, fat, lymphocytes, and immunoglobins, with several clinical consequences. Lymphatic dysfunctions in cirrhosis have been ignored to date; hence, new exploratory research must be undertaken to gain insight into this important subject. |
Publish Date |
2021-03-20 02:13 |
Citation |
Kumar R, Anand U, Priyadarshi RN. Lymphatic dysfunction in advanced cirrhosis: Contextual perspective and clinical implications. World J Hepatol 2021; 13(3): 300-314 |
URL |
https://www.wjgnet.com/1948-5182/full/v13/i3/300.htm |
DOI |
https://dx.doi.org/10.4254/wjh.v13.i3.300 |
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