{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:51:52Z","timestamp":1768456312210,"version":"3.49.0"},"reference-count":12,"publisher":"International College of Surgeons","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Free bowel perforation in Crohn's disease is a relatively rare complication. In this report, we present a case of free colonic perforation in a Crohn's disease patient with loop ileostomy previously constructed for intractable perianal abscess. Normally, fecal diversion by ileostomy results in an improvement in Crohn's colitis. However, in some cases, fecal diversion is reported to adversely affect the inflammation of the diverted bowel, and it is this unusual complication of Crohn's disease that we discuss here.<\/jats:p>","DOI":"10.9738\/1388.1","type":"journal-article","created":{"date-parts":[[2012,12,13]],"date-time":"2012-12-13T18:35:24Z","timestamp":1355423724000},"page":"159-161","source":"Crossref","is-referenced-by-count":4,"title":["Free Colonic Perforation in a Patient With Crohn's Disease and Loop Ileostomy: Report of a Case"],"prefix":"10.9738","volume":"96","author":[{"given":"Soichiro","family":"Ishihara","sequence":"first","affiliation":[{"name":"Department of Surgery, Teikyo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirokazu","family":"Nagawa","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, University of Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"2","key":"i0020-8868-96-2-159-Ikeuchi1","series-title":"J Gastroenterol","first-page":"1020","article-title":"Free perforation in Crohn's disease: review of the Japanese literature.","volume":"37","author":"Ikeuchi, H","year":"2002","unstructured":"Ikeuchi, H and YamamuraT. Free perforation in Crohn's disease: review of the Japanese literature.J Gastroenterol2002. 37 (2):1020\u20131027."},{"issue":"9","key":"i0020-8868-96-2-159-Greenstein1","series-title":"Am J Gastroenterol","first-page":"682","article-title":"Free perforation in Crohn's disease: I. A survey of 99 cases.","volume":"80","author":"Greenstein, AJ","year":"1985","unstructured":"Greenstein, AJ, MannD, SacharDB, and Aufses AH Jr. Free perforation in Crohn's disease: I. A survey of 99 cases.Am J Gastroenterol1985. 80 (9):682\u2013689."},{"issue":"1","key":"i0020-8868-96-2-159-Greenstein2","series-title":"Ann Surg","first-page":"72","article-title":"Spontaneous free perforation and perforated abscess in 30 patients with Crohn's disease.","volume":"205","author":"Greenstein, AJ","year":"1987","unstructured":"Greenstein, AJ, SacharDB, MannD, and Lachman P, Heimann T, Aufses AH Jr. Spontaneous free perforation and perforated abscess in 30 patients with Crohn's disease.Ann Surg1987. 205 (1):72\u201376."},{"issue":"5","key":"i0020-8868-96-2-159-Greenstein3","series-title":"Gut","first-page":"588","article-title":"Perforating and non-perforating indications for repeated operations in Crohn's disease: evidence for two clinical forms.","volume":"29","author":"Greenstein, AJ","year":"1988","unstructured":"Greenstein, AJ, LachmanP, SacharDB, and Springhom J, Heimann T, Janowitz HD. Perforating and non-perforating indications for repeated operations in Crohn's disease: evidence for two clinical forms.Gut1988. 29 (5):588\u2013592."},{"issue":"1","key":"i0020-8868-96-2-159-Leowardi1","series-title":"Digest Dis","first-page":"54","article-title":"Surgical treatment of severe inflammatory bowel diseases.","volume":"21","author":"Leowardi, C","year":"2003","unstructured":"Leowardi, C, HeuschenG, KienleP, and Heuschen V, Schmidt J. Surgical treatment of severe inflammatory bowel diseases.Digest Dis2003. 21 (1):54\u201362."},{"issue":"1","key":"i0020-8868-96-2-159-Berg1","series-title":"Am J Surg","first-page":"45","article-title":"Acute surgical emergencies in inflammatory bowel disease.","volume":"184","author":"Berg, DF","year":"2002","unstructured":"Berg, DF, BahadursinghAM, KaminskiDL, and Longo WE. Acute surgical emergencies in inflammatory bowel disease.Am J Surg2002. 184 (1):45\u201351."},{"issue":"2","key":"i0020-8868-96-2-159-Winslet1","series-title":"Gut","first-page":"236","article-title":"Faecal diversion for Crohn's colitis: a model to study the role of the faecal stream in the inflammatory process.","volume":"35","author":"Winslet, MC","year":"1994","unstructured":"Winslet, MC, AllanA, PoxonV, and Yongs D, Keighley MR. Faecal diversion for Crohn's colitis: a model to study the role of the faecal stream in the inflammatory process.Gut1994. 35 (2):236\u2013242."},{"issue":"3","key":"i0020-8868-96-2-159-Harper1","series-title":"Gut","first-page":"279","article-title":"Role of the faecal stream in the maintenance of Crohn's colitis.","volume":"26","author":"Harper, PH","year":"1985","unstructured":"Harper, PH, LeeEC, KettlewellMG, and Bennet MK, Jewell DP. Role of the faecal stream in the maintenance of Crohn's colitis.Gut1985. 26 (3):279\u2013284."},{"issue":"2","key":"i0020-8868-96-2-159-Harper2","series-title":"Gut","first-page":"106","article-title":"Split ileostomy and ileocolostomy for Crohn's disease of the colon and ulcerative colitis: a 20\u00a0year survey.","volume":"24","author":"Harper, PH","year":"1983","unstructured":"Harper, PH, TrueloveSC, LeeEC, and Kettlewell MG, Jewell DP. Split ileostomy and ileocolostomy for Crohn's disease of the colon and ulcerative colitis: a 20\u00a0year survey.Gut1983. 24 (2):106\u2013113."},{"issue":"3","key":"i0020-8868-96-2-159-Korelitz1","series-title":"Gastroenterology","first-page":"710","article-title":"Proctitis after fecal diversion in Crohn's disease and its elimination with reanastomosis: implications for surgical management\u2014report of four cases.","volume":"87","author":"Korelitz, BI","year":"1984","unstructured":"Korelitz, BI, CheskinLJ, SohnN, and Sommers SC. Proctitis after fecal diversion in Crohn's disease and its elimination with reanastomosis: implications for surgical management\u2014report of four cases.Gastroenterology1984. 87 (3):710\u2013713."},{"issue":"8","key":"i0020-8868-96-2-159-Williamson1","series-title":"Gut","first-page":"1139","article-title":"Bowel diversion should be used with caution in stenosing anal Crohn's disease.","volume":"35","author":"Williamson, ME","year":"1994","unstructured":"Williamson, ME and HughesLE. Bowel diversion should be used with caution in stenosing anal Crohn's disease.Gut1994. 35 (8):1139\u20131140."},{"issue":"3","key":"i0020-8868-96-2-159-Glotzer1","series-title":"Gastroenterology","first-page":"438","article-title":"Proctitis and colitis following diversion of the fecal stream.","volume":"80","author":"Glotzer, DJ","year":"1981","unstructured":"Glotzer, DJ, GlickME, and GoldmanH. Proctitis and colitis following diversion of the fecal stream.Gastroenterology1981. 80 (3):438\u2013441."}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/96\/2\/article-p159.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/96\/2\/159\/2214507\/1388_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/96\/2\/article-p159.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/96\/2\/article-p159.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:06:44Z","timestamp":1751483204000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/96\/2\/article-p159.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4]]},"references-count":12,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.9738\/1388.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4]]}}}