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Articles Published Processes
8/31/2021 6:51:25 AM | Browse: 387 | Download: 682
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Received |
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2021-05-11 13:06 |
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Peer-Review Started |
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2021-05-11 13:10 |
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To Make the First Decision |
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Return for Revision |
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2021-06-23 05:50 |
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Revised |
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2021-06-23 10:03 |
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Second Decision |
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2021-07-16 05:03 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2021-07-16 06:41 |
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Articles in Press |
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2021-07-16 06:41 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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2021-07-21 06:16 |
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Typeset the Manuscript |
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2021-08-26 00:49 |
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Publish the Manuscript Online |
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2021-08-31 06:51 |
ISSN |
2307-8960 (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 |
Surgery |
Manuscript Type |
Opinion Review |
Article Title |
Fecal diversion in complex anal fistulas: Is there a way to avoid it?
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Manuscript Source |
Invited Manuscript |
All Author List |
Pankaj Garg, Vipul D Yagnik and Sushil Dawka |
ORCID |
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Funding Agency and Grant Number |
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Corresponding Author |
Pankaj Garg, MBBS, MS, Associate Professor, Surgeon, Colorectal Surgery, Garg Fistula Research Institute, House No 1042, Sector-15
Near Amartex Chowk, Panchkula 134113, Haryana, India. drgargpankaj@yahoo.com |
Key Words |
Anal fistula; Fecal diversion; Diverting stoma; Colostomy; Crohn’s disease; Rectovaginal fistula |
Core Tip |
Fecal diversion is performed for severe and uncontrolled anal fistula disease. Though usually done as a last resort, it significantly increases morbidity and cost. We speculated on whether fecal diversion is actually the last resort, is it effective and can it be avoided? A novel non-surgical protocol [LOOP: L: Liquid diet with no fiber; O: Oral rehydration salt; O: Oral vitamins and protein powder/supplements; P: Phosphate (sodium phosphate) enema] prevents contact of fecal matter with the anorectum and has been successfully utilized to treat several acute anorectal conditions. LOOP can potentially avoid the need to divert the fecal stream in many fistula cases where it would be deemed necessary. This would markedly decrease the morbidity and cost incurred due to fecal diversion. |
Publish Date |
2021-08-31 06:51 |
Citation |
Garg P, Yagnik VD, Dawka S. Fecal diversion in complex anal fistulas: Is there a way to avoid it? World J Clin Cases 2021; 9(25): 7306-7310 |
URL |
https://www.wjgnet.com/2307-8960/full/v9/i25/7306.htm |
DOI |
https://dx.doi.org/10.12998/wjcc.v9.i25.7306 |
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