{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:01:14Z","timestamp":1745812874959,"version":"3.40.4"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,1,3]]},"abstract":"<jats:p>The authors present a rare case of a 71-year-old man presenting with large bowel obstruction after attempted colonoscopy. The procedure was impossible to complete due to a tight sigmoid stricture and the patient presented with an acute abdomen the following day. He was managed conservatively and discharged before returning for an elective laparoscopic sigmoid colectomy. The potential differentials of an acute abdomen post-colonoscopy are discussed and the literature reviewed on this rare complication. Finally, the authors review whether there is pressure on endoscopists to \u2018complete\u2019 colonoscopies (by achieving caecal intubation) based on regulatory indices in quality, and how this might have to be disregarded in unfavourable circumstances.<\/jats:p>","DOI":"10.1136\/bcr-2016-217296","type":"journal-article","created":{"date-parts":[[2017,1,16]],"date-time":"2017-01-16T11:43:20Z","timestamp":1484567000000},"page":"bcr2016217296","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Unexpected complication of colonoscopy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Ramesh","family":"Nadarajah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leon","family":"Pee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,16]]},"reference":[{"key":"2025042702263736000_2017.jan16_1.bcr2016217296.1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2015-100626"},{"key":"2025042702263736000_2017.jan16_1.bcr2016217296.2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2011-300651"},{"key":"2025042702263736000_2017.jan16_1.bcr2016217296.3","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1186\/1752-1947-2-179","article-title":"Small bowel obstruction complicating colonoscopy: a case report","volume":"2","author":"Hunter","year":"2008","journal-title":"J Med Case Rep"},{"key":"2025042702263736000_2017.jan16_1.bcr2016217296.4","first-page":"253","article-title":"Large bowel obstruction after colonoscopy; a case report","volume":"7","author":"Bari","year":"2015","journal-title":"Middle East J Dig Dis"},{"key":"2025042702263736000_2017.jan16_1.bcr2016217296.5","doi-asserted-by":"crossref","unstructured":"Rees CJ , Thomas Gibson S , Rutter MD , et al . UK key performance indicators and quality assurance standards for colonoscopy. Gut 2016; \u25aa\u25aa\u25aa. http:\/\/dx.doi.org\/10.1136\/gutjnl-2016\u2013312044","DOI":"10.1136\/gutjnl-2016-312044"},{"key":"2025042702263736000_2017.jan16_1.bcr2016217296.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2012.03057.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-217296","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:26:50Z","timestamp":1745746010000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-217296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,16]]},"references-count":6,"alternative-id":["10.1136\/bcr-2016-217296"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-217296","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,1,16]]}}}