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Articles Published Processes
4/24/2022 7:32:05 AM | Browse: 411 | Download: 1064
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Received |
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2021-08-25 13:51 |
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Peer-Review Started |
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2021-08-25 13:53 |
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To Make the First Decision |
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Return for Revision |
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2021-09-29 19:23 |
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Revised |
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2021-10-06 18:54 |
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Second Decision |
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2022-03-14 05:29 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2022-03-16 09:33 |
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Articles in Press |
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2022-03-16 09:33 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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2022-03-11 17:35 |
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Typeset the Manuscript |
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2022-04-13 01:11 |
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Publish the Manuscript Online |
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2022-04-24 07:32 |
| 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: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2022. 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 |
Therapeutic and Diagnostic Guidelines |
| Article Title |
Guidelines to diagnose and treat peri-levator high-5 anal fistulas: Supralevator, suprasphincteric, extrasphincteric, high outersphincteric, and high intrarectal fistulas
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Pankaj Garg, Vipul D Yagnik, Sushil Dawka, Baljit Kaur and Geetha R Menon |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Pankaj Garg, MD, MS, N/A, N/A, Department of Colorectal Surgery, Garg Fistula Research Institute, 1042/15, Panchkula 134113, Haryana, India. drgargpankaj@yahoo.com |
| Key Words |
Anal fistula; Supralevator; Suprasphincteric; Extrasphincteric; Magnetic resonance imaging |
| Core Tip |
These are the first published guidelines to manage the five peri-levator anal fistulas that involve almost the complete external anal sphincter and have therefore been clubbed together as high-5 fistulas. These are supralevator, suprasphincteric, extrasphincteric, high intrarectal and fistulas at the roof of ischiorectal fossa inside the levator ani muscle. The diagnosis as well as the management of these five fistulas is quite challenging. Magnetic resonance imaging is the best modality to accurately delineate these fistulas. Once diagnosed, care should be exercised to avoid sphincter-cutting procedures (fistulotomy) in these fistulas as the risk of incontinence would be very high. Sphincter-sparing procedures should be done. However, there is little literature available on satisfactory management of these fistulas. |
| Publish Date |
2022-04-24 07:32 |
| Citation |
Garg P, Yagnik VD, Dawka S, Kaur B, Menon GR. Guidelines to diagnose and treat peri-levator high-5 anal fistulas: Supralevator, suprasphincteric, extrasphincteric, high outersphincteric and high intrarectal fistulas. World J Gastroenterol 2022; 28(16): 1608-1624 |
| URL |
https://www.wjgnet.com/1007-9327/full/v28/i16/1608.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v28.i16.1608 |
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