{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1363670319088734720.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3748/wjg.v18.i24.3177"}},{"identifier":{"@type":"PMID","@value":"22791955"}}],"dc:title":[{"@value":"Rectal perforations and fistulae secondary to a glycerin enema: Closure by over-the-scope-clip"}],"description":[{"notation":[{"@value":"Rectal perforations due to glycerin enemas (GE) typically occur when the patient is in a seated or lordotic standing position. Once the perforation occurs and peritonitis results, death is usually inevitable. We describe two cases of rectal perforation and fistula caused by a GE. An 88-year-old woman presented with a large rectal perforation and a fistula just after receiving a GE. Her case was further complicated by an abscess in the right rectal wall. The second patient was a 78-year-old woman who suffered from a rectovesical fistula after a GE. In both cases, we performed direct endoscopic abscess lavage with a saline solution and closed the fistula using an over-the-scope-clip (OTSC) procedure. These procedures resulted in dramatic improvement in both patients. Direct endoscopic lavage and OTSC closure are very useful for pararectal abscess lavage and fistula closure, respectively, in elderly patients who are in poor general condition. Our two cases are the first reports of the successful endoscopic closure of fistulae using double OTSCs after endoscopic lavage of the debris and an abscess of the rectum secondary to a GE."}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1383670319088734720","@type":"Researcher","foaf:name":[{"@value":"Hirohito Mori"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"10079327"}],"prism:publicationName":[{"@value":"World Journal of Gastroenterology"}],"dc:publisher":[{"@value":"Baishideng Publishing Group Inc."}],"prism:publicationDate":"2012","prism:volume":"18","prism:number":"24","prism:startingPage":"3177"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","createdAt":"2012-06-27","modifiedAt":"2012-06-27","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Aged,%2080%20and%20over","dc:title":"Aged, 80 and over"},{"@id":"https://cir.nii.ac.jp/all?q=Glycerol","dc:title":"Glycerol"},{"@id":"https://cir.nii.ac.jp/all?q=Rectum","dc:title":"Rectum"},{"@id":"https://cir.nii.ac.jp/all?q=Enema","dc:title":"Enema"},{"@id":"https://cir.nii.ac.jp/all?q=Colonoscopy","dc:title":"Colonoscopy"},{"@id":"https://cir.nii.ac.jp/all?q=Surgical%20Instruments","dc:title":"Surgical Instruments"},{"@id":"https://cir.nii.ac.jp/all?q=Abscess","dc:title":"Abscess"},{"@id":"https://cir.nii.ac.jp/all?q=Rectal%20Diseases","dc:title":"Rectal Diseases"},{"@id":"https://cir.nii.ac.jp/all?q=Treatment%20Outcome","dc:title":"Treatment Outcome"},{"@id":"https://cir.nii.ac.jp/all?q=Intestinal%20Perforation","dc:title":"Intestinal Perforation"},{"@id":"https://cir.nii.ac.jp/all?q=Humans","dc:title":"Humans"},{"@id":"https://cir.nii.ac.jp/all?q=Rectal%20Fistula","dc:title":"Rectal Fistula"},{"@id":"https://cir.nii.ac.jp/all?q=Female","dc:title":"Female"},{"@id":"https://cir.nii.ac.jp/all?q=Therapeutic%20Irrigation","dc:title":"Therapeutic Irrigation"},{"@id":"https://cir.nii.ac.jp/all?q=Tomography,%20X-Ray%20Computed","dc:title":"Tomography, X-Ray Computed"},{"@id":"https://cir.nii.ac.jp/all?q=Aged","dc:title":"Aged"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390282679898927872","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"食道癌手術における胸腔内吻合のmajor leakageを内視鏡下に全層縫合器Over-The-Scope-Clipping<sup>®</sup> Systemにより閉鎖しえた1例"},{"@language":"en","@value":"Successful Closure of an Intrathoracic Anastomotic Major Leak with the Use of an Over-The-Scope-Clipping<sup>®</sup> System in a Patient Who Had Undergone Esophagectomy"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.3748/wjg.v18.i24.3177"},{"@type":"OPENAIRE","@value":"doi_dedup___::6655b9f10a4e8a85c6d78b4ee5cfb8c9"},{"@type":"CROSSREF","@value":"10.5833/jjgs.2016.0173_references_DOI_XKvSgRiq1ZVUojW7a8l3dYgeIso"}]}