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We then performed urgent colonoscopy, and successful endoscopic hemostasis was achieved using endoscopic band ligation (EBL) for a bleeding colonic diverticulum. However, the patient unexpectedly complained of severe abdominal pain and fever 5\u2009days after EBL, and abdominal CT revealed free air and mesenteric panniculitis. Emergency surgery was performed, and delayed colonic perforation at the EBL site was confirmed. Although rare, delayed perforation after EBL for colonic diverticular bleeding should be considered.<\/jats:p>","DOI":"10.1002\/jgh3.12407","type":"journal-article","created":{"date-parts":[[2020,8,8]],"date-time":"2020-08-08T07:42:50Z","timestamp":1596872570000},"page":"1244-1245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Rare complication of endoscopic band ligation for colonic diverticular bleeding"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6243-0776","authenticated-orcid":false,"given":"Naoyuki","family":"Tominaga","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Saga\u2010Ken Medical Centre Koseikan, Japan  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Ogata","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saga\u2010Ken Medical Centre Koseikan, Japan  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motohiro","family":"Esaki","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,8]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"419","article-title":"Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population\u2010based study","volume":"92","author":"Longstreth GF","year":"1997","journal-title":"Am. 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