{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:59:50Z","timestamp":1753891190732,"version":"3.41.2"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012401","name":"Beijing Science and Technology Planning Project","doi-asserted-by":"publisher","award":["D17110002617002"],"award-info":[{"award-number":["D17110002617002"]}],"id":[{"id":"10.13039\/501100012401","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2016YFC1302801","2018YFC1313103"],"award-info":[{"award-number":["2016YFC1302801","2018YFC1313103"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019018","name":"Chinese Academy of Medical Sciences Initiative for Innovative Medicine","doi-asserted-by":"publisher","award":["2016-I2M-1-001","2017-I2M-1-106","2019-I2M-2-004"],"award-info":[{"award-number":["2016-I2M-1-001","2017-I2M-1-106","2019-I2M-2-004"]}],"id":[{"id":"10.13039\/501100019018","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012151","name":"Sanming Project of Medicine in Shenzhen","doi-asserted-by":"publisher","award":["No. SZSM201911008"],"award-info":[{"award-number":["No. SZSM201911008"]}],"id":[{"id":"10.13039\/501100012151","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011176","name":"Peking Union Medical College","doi-asserted-by":"publisher","award":["2017320012"],"award-info":[{"award-number":["2017320012"]}],"id":[{"id":"10.13039\/501100011176","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Diverticulosis is a commonly acquired disease of the lower gastrointestinal tract, which may be associated with significant morbidity and adverse effects on quality of life. Although several national guidelines focused on the treatment of diverticulosis, multiple controversies remained regarding the disease management of diverticulosis. For some controversial issues, such as the role of antibiotics in mild diverticulitis, when and how to operate on patients with acute diverticulitis, there is no conclusion yet. To our knowledge, this is the first report of endoscopic therapy for anastomotic diverticulitis caused by stercorolith incarceration. In the current case, a 49-year-old woman complained of recurrent subumbilical pain without obvious inducement for half a year. Colonoscopy showed anastomotic diverticulum combined with stercorolith incarceration. After local inflammation relieved by conservative treatment, the patients received endoscopic mucosal incision and lithotomy. Then the diverticulum was closed with titanium clips. The abdominal pain of patient was completely relieved, and the reexamination of colonoscopy showed that the wound healed well after 1 year of follow-up. This case suggests that for anastomotic diverticulitis caused by stercorolith incarceration, endoscopic therapy can remove the stimulation factors better and avoid the recurrence and progression of the disease compared with conservative treatment. Moreover, endoscopic therapy achieves the maximum in minimally invasive surgery and reduces complications and surgical costs compared with radical surgery.<\/jats:p>","DOI":"10.3389\/fmed.2022.1053487","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T11:22:34Z","timestamp":1669720954000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic therapy of anastomotic diverticulum combined with stercorolith incarceration: A case report"],"prefix":"10.3389","volume":"9","author":[{"given":"Yi","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhihao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lizhou","family":"Dou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siyao","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueming","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guiqi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1007\/s00384-020-03788-4","article-title":"Evidence-based treatment strategies for acute diverticulitis.","volume":"36","author":"Zaborowski","year":"2021","journal-title":"Int J Colorectal Dis."},{"key":"B2","doi-asserted-by":"publisher","first-page":"125","DOI":"10.5009\/gnl16552","article-title":"Diverticular disease: an update on pathogenesis and management.","volume":"12","author":"Rezapour","year":"2018","journal-title":"Gut Liver."},{"key":"B3","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1080\/17474124.2018.1481746","article-title":"Pathophysiology of diverticular disease.","volume":"12","author":"Schieffer","year":"2018","journal-title":"Expert Rev Gastroenterol Hepatol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1136\/bmj.2.5759.450","article-title":"Diverticular disease of the colon: a deficiency disease of Western civilization.","volume":"2","author":"Painter","year":"1971","journal-title":"Br Med J."},{"key":"B5","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1053\/j.gastro.2009.01.015","article-title":"Burden of digestive diseases in the United States part II: lower gastrointestinal diseases.","volume":"136","author":"Everhart","year":"2009","journal-title":"Gastroenterology."},{"key":"B6","first-page":"3","article-title":"[Diverticular disease of the colon: diagnosis and treatment. Consensus conference, 5th national congress of the Italian society of academic surgeons].","volume":"80","author":"Tonelli","year":"2009","journal-title":"Ann Ital Chir."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1463-1318.2010.02531.x","article-title":"ACPGBI position statement on elective resection for diverticulitis.","volume":"13","author":"Fozard","year":"2011","journal-title":"Colorectal Dis."},{"key":"B8","article-title":"Danish national guidelines for treatment of diverticular disease.","volume":"59","author":"Andersen","year":"2012","journal-title":"Dan Med J."},{"key":"B9","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1159\/000367625","article-title":"Diverticular disease: guidelines of the german society for gastroenterology, digestive and metabolic diseases and the german society for general and visceral surgery.","volume":"90","author":"Kruis","year":"2014","journal-title":"Digestion."},{"key":"B10","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1111\/codi.15140","article-title":"European society of coloproctology: guidelines for the management of diverticular disease of the colon.","volume":"22","author":"Schultz","year":"2020","journal-title":"Colorectal Dis."},{"key":"B11","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1016\/j.suc.2021.05.024","article-title":"Challenging surgical dogma: controversies in diverticulitis.","volume":"101","author":"Khan","year":"2021","journal-title":"Surg Clin North Am."},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.3592","article-title":"Diverticulosis and diverticulitis.","volume":"316","author":"Thompson","year":"2016","journal-title":"JAMA."},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n72","article-title":"Management of colonic diverticulitis.","volume":"372","author":"Peery","year":"2021","journal-title":"BMJ."},{"key":"B14","doi-asserted-by":"publisher","first-page":"396","DOI":"10.14744\/tjtes.2019.47382","article-title":"Effectiveness of conservative approach in right colon diverticulitis.","volume":"25","author":"Destek","year":"2019","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"key":"B15","doi-asserted-by":"publisher","first-page":"1282","DOI":"10.1053\/j.gastro.2018.12.033","article-title":"Epidemiology, pathophysiology, and treatment of diverticulitis.","volume":"156","author":"Strate","year":"2019","journal-title":"Gastroenterology."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.1053487\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T11:22:38Z","timestamp":1669720958000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.1053487\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,29]]},"references-count":15,"alternative-id":["10.3389\/fmed.2022.1053487"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2022.1053487","relation":{},"ISSN":["2296-858X"],"issn-type":[{"type":"electronic","value":"2296-858X"}],"subject":[],"published":{"date-parts":[[2022,11,29]]},"article-number":"1053487"}}