{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T16:57:00Z","timestamp":1793465820441,"version":"4.5.0"},"reference-count":10,"publisher":"The Korean Society of Gastrointestinal Endoscopy","issue":"1","license":[{"start":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:00:00Z","timestamp":1614729600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["e-ce.org"],"crossmark-restriction":true},"short-container-title":["Clin Endosc"],"published-print":{"date-parts":[[2022,1,31]]},"abstract":"<jats:p>Lumboperitoneal or ventriculoperitoneal shunt insertion is a standard therapy for hydrocephalus that diverts cerebrospinal fluid from the subarachnoid space into the peritoneal cavity. Gastrointestinal perforations due to this procedure occur rarely; however, accepted treatment strategies have not yet been established. Hence, the most common treatment approaches are open surgery or spontaneous closure without endoscopy. We report the case of a small intestinal perforation in a 73-year-old-woman that occurred after the insertion of a lumboperitoneal shunt. A positive cerebrospinal fluid culture and high cerebrospinal fluid white blood cell count indicated a retrograde bacterial infection, and computed tomography revealed that the peritoneal tip of the shunt catheter was located in the lumen of the gastrointestinal tract. We repaired the perforation endoscopically using an over-the-scope clip, and the patient\u2019s recovery was uneventful. Use of an over-the-scope clip could be an effective and minimally invasive treatment for intestinal perforations caused by lumboperitoneal or ventriculoperitoneal shunt insertion.<\/jats:p>","DOI":"10.5946\/ce.2020.293","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T04:15:54Z","timestamp":1614744954000},"page":"146-149","update-policy":"https:\/\/doi.org\/10.5946\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intestinal Perforation Caused by Lumboperitoneal Shunt Insertion Repaired with an Over-the-Scope Clip"],"prefix":"10.5946","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0978-9741","authenticated-orcid":true,"given":"Naoki","family":"Ishizuka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9804-3196","authenticated-orcid":true,"given":"Eiji","family":"Komatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3961","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/s0090-3019(00)00334-7"},{"key":"ref2","first-page":"S76","volume-title":"Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment","author":"Vinchon","year":"2006"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-006-0308-8"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3476(73)80376-2"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.4293\/108680813x13794522666527"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/s0929-6646(10)60079-4"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-104862"},{"key":"ref8","first-page":"22","volume-title":"Over-the-scope clip system: a review of 1517 cases over 9 years","author":"Kobara","year":"2019"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2012.02.005"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-017-0718-2"}],"container-title":["Clinical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-ce.org\/upload\/pdf\/ce-2020-293.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ce.org\/journal\/view.php?doi=10.5946\/ce.2020.293","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ce.org\/upload\/pdf\/ce-2020-293.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T04:40:33Z","timestamp":1644208833000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-ce.org\/journal\/view.php?doi=10.5946\/ce.2020.293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,31]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.5946\/ce.2020.293","relation":{},"ISSN":["2234-2400","2234-2443"],"issn-type":[{"value":"2234-2400","type":"print"},{"value":"2234-2443","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,31]]},"assertion":[{"value":"2020-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-03","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}