{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:33:58Z","timestamp":1792269238944,"version":"4.4.0"},"reference-count":18,"publisher":"Japanese Society of Internal Medicine","issue":"19","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intern. Med."],"published-print":{"date-parts":[[2025,10,1]]},"DOI":"10.2169\/internalmedicine.5222-24","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T18:15:30Z","timestamp":1743185730000},"page":"2858-2862","source":"Crossref","is-referenced-by-count":2,"title":["Difficulty in Identifying the Source of Hemorrhage in Duodenal Diverticula Bleeding"],"prefix":"10.2169","volume":"64","author":[{"given":"Fumioki","family":"Toyoda","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Matsumori","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tenri Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaka","family":"Kashima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sho","family":"Matsuyama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taro","family":"Ueo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tenri Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Seno","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"962","reference":[{"key":"1","unstructured":"1. Afridi SA, Fichtenbaum CJ, Taubin H. Review of duodenal diverticula. Am J Gastroenterol 86: 935-938, 1991."},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Ryan ME, Hamilton JW, Morrissey JF. Gastrointestinal hemorrhaging from a duodenal diverticulum. Gastrointest Endosc 30: 84-87, 1984.","DOI":"10.1016\/S0016-5107(84)72325-X"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Chen YY, Yen HH, Soon MS. Impact of endoscopy in the management of duodenal diverticular bleeding: experience of a single medical center and a review of recent literature. Gastrointest Endosc 66: 831-835, 2007.","DOI":"10.1016\/j.gie.2007.06.001"},{"key":"4","unstructured":"4. Chomel J. Report of a case of duodenal diverticulum containing gallstones. Hist Acad Roy Sci 1710: 48-50, 1710."},{"key":"5","unstructured":"5. Rioux L, Des Groseilliers S, Fortin M, Mutch DO. Massive upper gastrointestinal bleeding originating from a fourth-stage duodenal diverticulum: a case report and review of the literature. Can J Surg 39: 510-512, 1996."},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Shirai M. Clinical features of duodenal diverticulum - with special reference to the surgical significance of parapapillary diverticulum and its indication for surgery -. Nihon Sh\u014dkaki Geka Gakkai Zasshi (J Jpn Gastroenterol Surg) 11: 297-309, 1978 (in Japanese).","DOI":"10.5833\/jjgs.11.4_297"},{"key":"7","unstructured":"7. Khandelwal M, Akerman PA, Jones WF, et al. Endoscopic therapy of a bleeding duodenal diverticulum. Am J Gastroenterol 90: 1328-1329, 1995."},{"key":"8","unstructured":"8. Balkissoon J, Balkissoon B, Leffall LD, et al. Massive upper gastrointestinal bleeding in a patient with a duodenal diverticulum: a case report and review of the literature. J Natl Med Assoc 84: 365-367, 1992."},{"key":"9","unstructured":"9. Nishii K. Morphological and histomorphological examination of 6 duodenal diverticulum. Toho Med J 8: 897-909, 1963."},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Dalal AA, Rogers SJ, Cello JP. Endoscopic management of hemorrhaging from a duodenal diverticulum. Gastrointest Endosc 48: 418-420, 1998.","DOI":"10.1016\/S0016-5107(98)70015-X"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Patterson RH, Bromberg B. Surgical significance of duodenal diverticula. Ann Surg 134: 834-843, 1951.","DOI":"10.1097\/00000658-195111000-00007"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Ghahremani GG, Hietala SO. Arteriography of a bleeding duodenal diverticulum. Am J Dig Dis 22: 445-448, 1977.","DOI":"10.1007\/BF01071893"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Nishiyama N, Mori H, Rafiq K, et al. Active bleeding from a periampullary duodenal diverticulum that was difficult to diagnose but successfully treated using hemostatic forceps: a case report. J Med Case Rep 6: 367, 2012.","DOI":"10.1186\/1752-1947-6-367"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Ogasawara N, Kikuchi D, Tanaka M, et al. Hemostasis achieved endoscopically for duodenal diverticular bleeding by removing a large blood clot using a snare. Clin J Gastroenterol 13: 615-620, 2020.","DOI":"10.1007\/s12328-020-01100-z"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Ko KH, Lee SY, Hong SP, et al. Duodenal perforation after endoscopic hemoclip application for bleeding from Dieulafoy's lesion in a duodenal diverticulum. Gastrointest Endosc 62: 781-782; discussion 782, 2005.","DOI":"10.1016\/j.gie.2005.05.011"},{"key":"16","unstructured":"16. Hayashi K, Okayama Y, Miyabe K, et al. Two cases which had caused perforation after the endoscopic clipping for bleeding from duodenal diverticulum. Nihon Sh\u014dkaki Naishiky\u014d Gakkai Zasshi (Gastroentelogical Endosc) 48: 1109-1115, 2006 (in Japanese)."},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Ishii N, Setoyama T, Gautam A, et al. Endoscopic band ligation for colonic diverticular hemorrhaging. Gastrointest Endosc 75: 382-387, 2012.","DOI":"10.1016\/j.gie.2011.07.030"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Sato Y, Yasuda H, Fukuoka A, et al. Delayed perforation after endoscopic band ligation for colonic diverticular hemorrhaging. Clin J Gastroenterol 13: 6-10, 2020.","DOI":"10.1007\/s12328-019-01027-0"}],"container-title":["Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/64\/19\/64_5222-24\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T03:22:12Z","timestamp":1759548132000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/64\/19\/64_5222-24\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":18,"journal-issue":{"issue":"19","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2169\/internalmedicine.5222-24","relation":{},"ISSN":["0918-2918","1349-7235"],"issn-type":[{"value":"0918-2918","type":"print"},{"value":"1349-7235","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]},"article-number":"5222-24"}}