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Articles Published Processes
12/19/2022 10:48:04 AM | Browse: 488 | Download: 933
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Received |
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2022-09-20 12:45 |
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Peer-Review Started |
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2022-09-20 12:46 |
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First Decision by Editorial Office Director |
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2022-10-21 23:45 |
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Return for Revision |
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2022-10-21 23:45 |
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Revised |
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2022-11-04 00:57 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2022-11-24 03:20 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2022-11-26 17:05 |
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Articles in Press |
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2022-11-26 17:05 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2022-12-13 01:22 |
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Publish the Manuscript Online |
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2022-12-19 10:48 |
| 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 |
Minireviews |
| Article Title |
Obstructive and secretory complications of diverting ileostomy
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Shingo Tsujinaka, Hideyuki Suzuki, Tomoya Miura, Yoshihiro Sato and Chikashi Shibata |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Shingo Tsujinaka, MD, Associate Professor, Department of Gastroenterological Surgery, Tohoku Medical and Pharmaceutical University, 1-15-1 Fukumuro, Miyagino-ku, Sendai 983-8356, Miyagi, Japan. tsujinakas@tohoku-mpu.ac.jp |
| Key Words |
Small bowel obstruction; Stoma outlet obstruction; Stoma-related obstruction; High output stoma; High output syndrome; Dehydration |
| Core Tip |
This review highlights the etiology, diagnosis, treatment, and prevention of obstructive and secretory complications associated with diverting ileostomy (DI). Obstructive complications at the stoma site (stoma outlet obstruction/stoma-related obstruction, SOO/SRO) affect 5.4%-27.3% of patients with DI. Trans-stomal tube decompression is effective in most cases. Surgical refinement is important for reducing SOO/SRO. Secretory complications (high output stoma, HOS) lead to water and sodium depletion and secondary hyperaldosteronism with electrolyte imbalances. The incidence of HOS is 14%-24%, with an output of 1000-2000 mL/d. HOS treatment includes fluid intake restriction, antimotility and antisecretory drug therapies, and magnesium supplementation. Intensive monitoring and surveillance programs may decrease the readmission rates for dehydration. |
| Publish Date |
2022-12-19 10:48 |
| Citation |
Tsujinaka S, Suzuki H, Miura T, Sato Y, Shibata C. Obstructive and secretory complications of diverting ileostomy. World J Gastroenterol 2022; 28(47): 6732-6742 |
| URL |
https://www.wjgnet.com/1007-9327/full/v28/i47/6732.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v28.i47.6732 |
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