{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:44:12Z","timestamp":1777448652775,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>Colonoscopy-associated rectal perforation is rare but serious. Although a colostomy or laparotomy is frequently required, primary repair may suffice in selected cases. A 70-year-old woman with prior laparoscopic low anterior resection underwent surveillance colonoscopy and EMR. During retroflexion, a 3\u00a0cm perforation was noted 10\u00a0cm from the anal verge, which was located 7\u00a0cm proximal to the previous anastomosis at 3\u00a0cm from the anal verge. Endoscopic clipping failed due to the size and location of the lesion. No intraperitoneal contamination was evident. A transanal endoscopic approach (TAMIS) was employed using an Alexis\u00ae wound protector and insufflation. The defect was closed using 3-0 Vicryl under direct intraluminal visualization. Laparoscopic inspection confirmed no leakage. A transanal drain was left in place.<\/jats:p>\n                  <jats:p>The postoperative course was uneventful. Inflammatory marker levels remained stable, and the patient was discharged on postoperative day 9 without complications. Transanal endoscopic repair is a viable, minimally invasive alternative for iatrogenic rectal perforations without gross contamination, potentially avoiding colostomy and improving the postoperative quality of life.<\/jats:p>","DOI":"10.1177\/00031348251381619","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T18:58:31Z","timestamp":1758049111000},"page":"622-624","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Transanal Endoscopic Repair of Rectal Perforation Due to Colonoscopy: A Brief Report"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8152-2665","authenticated-orcid":false,"given":"Tatsuya","family":"Yamazaki","sequence":"first","affiliation":[{"name":"Totsuka Kyouritsu Dai-ichi Hospital"},{"name":"Showa Medical University"},{"name":"School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriyuki","family":"Murai","sequence":"additional","affiliation":[{"name":"Totsuka Kyouritsu Dai-ichi Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motohiko","family":"Fukushima","sequence":"additional","affiliation":[{"name":"Totsuka Kyouritsu Dai-ichi Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsutomu","family":"Kaetsu","sequence":"additional","affiliation":[{"name":"Totsuka Kyouritsu Dai-ichi Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuaki","family":"Matsui","sequence":"additional","affiliation":[{"name":"Totsuka Kyouritsu Dai-ichi Hospital"},{"name":"Showa Medical University"},{"name":"School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiya","family":"Takei","sequence":"additional","affiliation":[{"name":"Totsuka Kyouritsu Dai-ichi Hospital"},{"name":"Showa Medical University"},{"name":"School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hikari","family":"Mifune","sequence":"additional","affiliation":[{"name":"Totsuka Kyouritsu Dai-ichi Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyuki","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Showa Medical University"},{"name":"Fujigaoka Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0503-2525","authenticated-orcid":false,"given":"Takeshi","family":"Aoki","sequence":"additional","affiliation":[{"name":"Showa Medical University"},{"name":"School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-018-0162-9"},{"issue":"1","key":"e_1_3_4_3_2","first-page":"1","article-title":"Evaluation of transanal endoscopic surgery for rectal tumors Yasumi","volume":"11","author":"Yasumi A","year":"2019","unstructured":"Yasumi A, Keiko M, Motonori N, et al. Evaluation of transanal endoscopic surgery for rectal tumors Yasumi. Jpn J Gastroenterol Surg. 2019;11(1):1-14.","journal-title":"Jpn J Gastroenterol Surg"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.09.008"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1067\/S0016-5107(03)01890-X"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/S10151-016-1523-6"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2020.21.5.1441"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251381619","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251381619","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251381619","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:31Z","timestamp":1777379911000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251381619"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,16]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1177\/00031348251381619"],"URL":"https:\/\/doi.org\/10.1177\/00031348251381619","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,16]]}}}