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8/31/2021 6:51:25 AM | Browse: 260 | Download: 315
Publication Name World Journal of Clinical Cases
Manuscript ID 68095
Country/Territory India
Received
2021-05-11 13:06
Peer-Review Started
2021-05-11 13:10
To Make the First Decision
Return for Revision
2021-06-23 05:50
Revised
2021-06-23 10:03
Second Decision
2021-07-16 05:03
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2021-07-16 06:41
Articles in Press
2021-07-16 06:41
Publication Fee Transferred
Edit the Manuscript by Language Editor
2021-07-21 06:16
Typeset the Manuscript
2021-08-26 00:49
Publish the Manuscript Online
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.
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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?
Manuscript Source Invited Manuscript
All Author List Pankaj Garg, Vipul D Yagnik and Sushil Dawka
ORCID
Author(s) ORCID Number
Pankaj Garg http://orcid.org/0000-0002-0800-3578
Vipul D Yagnik http://orcid.org/0000-0003-4008-6040
Sushil Dawka http://orcid.org/0000-0002-9372-3683
Funding Agency and Grant Number
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
Full Article (PDF) WJCC-9-7306.pdf
Full Article (Word) WJCC-9-7306.docx
Manuscript File 68095-Review-Filipodia.docx
Answering Reviewers 68095-Answering reviewers.pdf
Audio Core Tip 68095-Audio core tip.m4a
Conflict-of-Interest Disclosure Form 68095-Conflict-of-interest statement.pdf
Copyright License Agreement 68095-Copyright license agreement.pdf
Non-Native Speakers of English Editing Certificate 68095-Language certificate.pdf
Peer-review Report 68095-Peer-review(s).pdf
Scientific Misconduct Check 68095-Bing-Wang LL-2.png
Scientific Misconduct Check 68095-Scientific misconduct check.pdf
Scientific Editor Work List 68095-Scientific editor work list.pdf