{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T04:36:26Z","timestamp":1767846986749,"version":"3.49.0"},"reference-count":4,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Obstruction of the colon caused by a fecalith is not a rare condition, but endoscopic attempts at removal of the fecalith are often unsuccessful because of the size of the fecalith and its extremely hard stone-like consistency. We report a case of bowel obstruction of over two weeks\u2019 duration caused by a giant colonic fecalith. Conservative treatments including insertion of a gastric tube and enemas failed to resolve the obstruction. After an initial unsuccessful attempt at fecalith removal by colonoscopy using a snare, we successfully resolved the bowel obstruction over the course of subsequent colonoscopies with endoscopic fenestration of the fecalith and placement of a transrectal gastric tube for directed instillation of the enema fluid, and we were able to avoid surgical intervention in this case.<\/jats:p>","DOI":"10.1055\/a-1973-5554","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T23:59:12Z","timestamp":1670284752000},"page":"680-682","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic fenestration combined with catheterization in the treatment of a giant colonic fecalith causing bowel obstruction: a case report"],"prefix":"10.1055","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3148-4197","authenticated-orcid":false,"given":"Dong","family":"Yang","sequence":"additional","affiliation":[{"name":"The First Hospital of Jilin University, Changchun, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueshan","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Hospital of Jilin University, Changchun, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke","family":"Tao","sequence":"additional","affiliation":[{"name":"The First Hospital of Jilin University, Changchun, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huihui","family":"Zhao","sequence":"additional","affiliation":[{"name":"The First Hospital of Jilin University, Changchun, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1871-7734","authenticated-orcid":false,"given":"Xiangwei","family":"Meng","sequence":"additional","affiliation":[{"name":"The First Hospital of Jilin University, Changchun, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1159\/000455186","article-title":"Giant Fecalith Causing Near Intestinal Obstruction and Rectal Ischemia","volume":"11","author":"S Nigar","year":"2017","journal-title":"Case Rep Gastroenterol"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1056\/NEJM199003223221220","article-title":"Treatment of an impacted fecalith with electrohydraulic lithotripsy","volume":"322","author":"A Morgentaler","year":"1990","journal-title":"N Engl J Med"},{"issue":"05","key":"ref3","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1016\/j.gie.2010.04.042","article-title":"Endoscopic lithotripsy of a cecal scybalum causing small-bowel obstruction","volume":"72","author":"LF Lara","year":"2010","journal-title":"Gastrointest Endosc"},{"issue":"03","key":"ref4","doi-asserted-by":"publisher","first-page":"156","DOI":"10.14309\/crj.2016.34","article-title":"Fecalith Causing Mechanical Bowel Obstruction Managed with Intracorporeal Lithotripsy","volume":"3","author":"T Attila","year":"2016","journal-title":"ACG Case Rep J"}],"container-title":["Zeitschrift f\u00fcr Gastroenterologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1973-5554.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T23:40:14Z","timestamp":1686181214000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1973-5554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,5]]},"references-count":4,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2023,6,7]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1973-5554","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-2771","1439-7803"],"issn-type":[{"value":"0044-2771","type":"print"},{"value":"1439-7803","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,5]]}}}