{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T15:36:29Z","timestamp":1758123389845},"reference-count":4,"publisher":"Royal College of Surgeons of England","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Restorative proctocolectomy (RP) is undertaken for patients with familial adenomatous polyposis (FAP) and ulcerative colitis, but is associated with a risk of anastomotic leak. <\/jats:p><\/jats:sec><jats:sec><jats:title>Case history<\/jats:title><jats:p> A 20-year-old male with a family history of FAP had a RP with a double-stapled J-pouch and covering loop ileostomy. At ileostomy reversal 21 months later, he presented with significant anal bleeding. He proceeded to theatre for endoscopy. Pouchoscopy showed a pouch full of blood and a foreign object trapped in a diverticulum. The foreign object (an undigested tablet) was removed with grasping forceps and the bleeding spot identified. Hemospray<jats:sup>\u00ae<\/jats:sup> (Cook Medical, Winston-Salem, NC, USA) was deployed in the bleeding cavity to enable immediate control of haemorrhage. Recovery was uneventful and he was discharged home 72 hours later. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> This case: (i) demonstrates a successful and novel method of controlling haemorrhage not amenable to use of conventional haemostatic mechanisms; (ii) highlights the potential problems of using prolonged-release medications in patients with gastrointestinal strictures\/diverticulae. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2016.0321","type":"journal-article","created":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T14:04:15Z","timestamp":1488463455000},"page":"e116-e119","source":"Crossref","is-referenced-by-count":4,"title":["An unusual haemorrhagic complication of an anastomotic leak and a novel method of controlling the haemorrhage"],"prefix":"10.1308","volume":"99","author":[{"given":"S","family":"Martin","sequence":"first","affiliation":[{"name":"Emergency surgical unit, Royal Victoria Hospital, Grosvenor Road, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Emergency surgical unit, Royal Victoria Hospital, Grosvenor Road, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjv170"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12867"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2011.02775.x"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1256311"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2016.0321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:37:45Z","timestamp":1684147065000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2016.0321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":4,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1308\/rcsann.2016.0321"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2016.0321","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3]]}}}