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Articles Published Processes
8/25/2014 2:47:00 PM | Browse: 1239 | Download: 905
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Received |
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2013-12-10 17:23 |
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Peer-Review Started |
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2013-12-11 09:18 |
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To Make the First Decision |
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2014-01-15 16:54 |
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Return for Revision |
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2014-01-20 18:19 |
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Revised |
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2014-01-21 01:25 |
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Second Decision |
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2014-04-09 08:17 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-04-09 09:06 |
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Articles in Press |
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2014-05-23 09:45 |
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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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2014-07-21 10:50 |
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Publish the Manuscript Online |
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2014-08-07 10:34 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Review |
Article Title |
Spontaneous free perforation of the small intestine in adults
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Manuscript Source |
Invited Manuscript |
All Author List |
Hugh James Freeman |
Funding Agency and Grant Number |
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Corresponding Author |
Hugh James Freeman, MD, CM, FRCPC, FACP, Professor, Department of Medicine, University of British Columbia, 2211 Wesbrook Mall, Vancouver V6T 1W5, Canada. hugfree@shaw.ca |
Key Words |
Free small bowel perforation; Crohn’s disease; Non-traumatic perforation; Celiac disease; Small bowel lymphoma; Vasculitis; Collagenous sprue; Biological agents; Monoclonal antibodies |
Core Tip |
Clinical presentation with “an acute abdomen” due to spontaneous “free” perforation usually requires urgent surgical intervention for survival. Often, the clinician is aware of an underlying disorder, but in others, this emergent situation may represent the initial clinical presentation of unrecognized Crohn’s disease or, even celiac disease already complicated by a superimposed lymphoma. Other rare causes include medical treatments for a variety of immune-mediated, inflammatory and neoplastic disorders, including some novel biological agents. Evidence also suggests that intestinal perforation could also reflect an occult genetically-based defect causing impaired connective tissue structure, synthesis and repair. |
Publish Date |
2014-08-07 10:34 |
Citation |
Freeman HJ. Spontaneous free perforation of the small intestine in adults. World J Gastroenterol 2014; 20(29): 9990-9997 |
URL |
http://www.wjgnet.com/1007-9327/full/v20/i29/9990.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v20.i29.9990 |
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