{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T21:10:08Z","timestamp":1769721008836,"version":"3.49.0"},"reference-count":9,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ultra-low anterior resection for low rectal cancer is usually done with a covering ileostomy as a safety measure to reduce the consequences of distal anastomotic failure. In many centres, distal loopogram is performed routinely, prior to the closure of the loop ileostomy, to assess the integrity of anastomosis. Distal loopogram is generally considered a safe procedure with very low complication rates, especially when water-soluble contrast is used. We report two cases of delayed bowel perforation which led to severe sepsis and generalized peritonitis after distal loopogram prior to ileostomy closure. Our cases highlight the potential dangers of distal loopogram. Therefore, the routine usage of this procedure should be scrutinized and the patient needs to be properly counselled prior to the procedure.<\/jats:p>","DOI":"10.1515\/med-2020-0037","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T17:44:25Z","timestamp":1586281465000},"page":"261-265","source":"Crossref","is-referenced-by-count":3,"title":["Delayed bowel perforation after routine distal loopogram prior to ileostomy closure"],"prefix":"10.1515","volume":"15","author":[{"given":"Keat Seong","family":"Poh","sequence":"first","affiliation":[{"name":"Department of Surgery, University Malaya , Kuala Lumpur , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siew Yep","family":"Hoh","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Malaya , Kuala Lumpur , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rezal","family":"Aziz","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Malaya , Kuala Lumpur , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shun Siang","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Malaya , Kuala Lumpur , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"April Camilla","family":"Roslani","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Malaya , Kuala Lumpur , Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2020,4,4]]},"reference":[{"key":"2026012909532617089_j_med-2020-0037_ref_001_w2aab3b7d243b1b6b1ab2b1b1Aa","doi-asserted-by":"crossref","unstructured":"Horgan A.F., Finlay I.G, Preoperative staging of rectal cancer allows selection of patients for preoperative radiotherapy,Br J Surg, 2000,87,575\u2013579; DOI: D0.1046\/j.1365-2168.2000.01396.x.","DOI":"10.1046\/j.1365-2168.2000.01396.x"},{"key":"2026012909532617089_j_med-2020-0037_ref_002_w2aab3b7d243b1b6b1ab2b1b2Aa","doi-asserted-by":"crossref","unstructured":"Hong S.Y., Kim D.Y., Oh S.Y., Suh K.W., Routine barium enema prior to closure of defunctioning ileostomy is not necessary,J Korean SurgSoc, 2012, 83,88\u201391; DOI: 10.4174\/ jkss.2012.83.2.88.","DOI":"10.4174\/jkss.2012.83.2.88"},{"key":"2026012909532617089_j_med-2020-0037_ref_003_w2aab3b7d243b1b6b1ab2b1b3Aa","doi-asserted-by":"crossref","unstructured":"Shalabi A., Duek S.D., Khoury W., Water-soluble enema prior to ileostomy closure in patients undergoing low anterior resection: is it necessary? 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