{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:25:01Z","timestamp":1762867501356},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2018,7,27]],"date-time":"2018-07-27T00:00:00Z","timestamp":1532649600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Anastomotic dehiscence and leak are dreaded complications after a colorectal resection and can often present with rectal bleeding and pelvic abscess or sepsis. Although most cases of bleeding after gastrointestinal anastomoses are minor and self-limited, major bleeding, as defined by hemodynamic instability or the need for blood transfusions, poses a significant challenge for management. Here we report a case in which a patient presenting with profuse rectal bleeding and pelvic hematoma secondary to a colorectal anastomotic leak was treated endoscopically with 50% dextrose spray then enema.<\/jats:p>","DOI":"10.1093\/gastro\/goy026","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T03:05:56Z","timestamp":1530673556000},"page":"455-458","source":"Crossref","is-referenced-by-count":6,"title":["Endoscopic therapy of colorectal anastomotic hematoma with hypertonic dextrose"],"prefix":"10.1093","volume":"7","author":[{"given":"Preeti","family":"Shashi","sequence":"first","affiliation":[{"name":"The Interventional IBD Unit, Department of Gastroenterology, Hepatology & Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gursimran","family":"Kochhar","sequence":"additional","affiliation":[{"name":"The Interventional IBD Unit, Department of Gastroenterology, Hepatology & Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Shen","sequence":"additional","affiliation":[{"name":"The Interventional IBD Unit, Department of Gastroenterology, Hepatology & Nutrition, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,7,27]]},"reference":[{"key":"2019121602272368300_goy026-B1","doi-asserted-by":"crossref","first-page":"378","DOI":"10.4240\/wjgs.v7.i12.378","article-title":"Management of low colorectal anastomotic leak: preserving the anastomosis","volume":"7","author":"Blumetti","year":"2015","journal-title":"World J Gastrointest Surg"},{"key":"2019121602272368300_goy026-B2","doi-asserted-by":"crossref","first-page":"2293","DOI":"10.3748\/wjg.v19.i15.2293","article-title":"Colorectal anastomotic leakage: aspects of prevention, detection and treatment","volume":"19","author":"Daams","year":"2013","journal-title":"World J Gastroenterol"},{"key":"2019121602272368300_goy026-B3","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s00268-008-9468-1","article-title":"International Anastomotic Leak Study G. Standardized algorithms for management of anastomotic leaks and related abdominal and pelvic abscesses after colorectal surgery","volume":"32","author":"Phitayakorn","year":"2008","journal-title":"World J Surg"},{"key":"2019121602272368300_goy026-B4","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1007\/s00384-016-2612-8","article-title":"Management of postoperative bleeding after laparoscopic left colectomy","volume":"31","author":"Besson","year":"2016","journal-title":"Int J Colorectal Dis"},{"key":"2019121602272368300_goy026-B5","first-page":"460","article-title":"Endoscopic treatment of postoperative hemorrhage from a stapled colorectal anastomosis","volume":"61","author":"Cirocco","year":"1995","journal-title":"Am Surg"},{"key":"2019121602272368300_goy026-B6","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.suc.2012.09.014","article-title":"Complications of colorectal anastomoses: leaks, strictures, and bleeding","volume":"93","author":"Davis","year":"2013","journal-title":"Surg Clin North Am"},{"key":"2019121602272368300_goy026-B7","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1111\/j.1463-1318.2007.01459.x","article-title":"Endoscopic haemostasis of staple-line haemorrhage following colorectal resection","volume":"10","author":"Malik","year":"2008","journal-title":"Colorectal Dis"},{"key":"2019121602272368300_goy026-B8","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1186\/1477-7819-12-376","article-title":"Colonoscopy is the first choice for early postoperative rectal anastomotic bleeding","volume":"12","author":"Lou","year":"2014","journal-title":"World J Surg Oncol"},{"key":"2019121602272368300_goy026-B9","doi-asserted-by":"crossref","first-page":"E64","DOI":"10.1055\/s-0042-121664","article-title":"Endoscopic treatment of leak at the tip of the \u2018J\u2019 ileal pouch","volume":"5","author":"Kochhar","year":"2017","journal-title":"Endosc Int Open"},{"key":"2019121602272368300_goy026-B10","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s10151-009-0458-6","article-title":"Management of lower gastrointestinal bleeding after colorectal resection and stapled anastomosis","volume":"13","author":"Martinez-Serrano","year":"2009","journal-title":"Tech Coloproctol"},{"key":"2019121602272368300_goy026-B11","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1007\/BF02251974","article-title":"Arterial vasopressin for control of bleeding from a stapled intestinal anastomosis: report of two cases","volume":"35","author":"Atabek","year":"1992","journal-title":". 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