Endoscopic Removal of Impacted Barium Stools Using a Snare and a Long Hood: A Rare Complication Following Upper Gastrointestinal Barium X-ray Radiography (With Video)
- PMID: 40777738
- PMCID: PMC12328090
- DOI: 10.1002/deo2.70182
Endoscopic Removal of Impacted Barium Stools Using a Snare and a Long Hood: A Rare Complication Following Upper Gastrointestinal Barium X-ray Radiography (With Video)
Abstract
Barium sulfate is widely used as a radiographic contrast medium in upper gastrointestinal barium X-ray radiography for cancer screening in Japan. Although generally considered safe, rare complications such as bowel obstruction due to impacted barium stools can occur. We report the case of a healthy 41-year-old woman who developed colonic obstruction following upper gastrointestinal barium X-ray radiography. Endoscopic treatment was attempted using a snare and a long hood to fragment and remove the barium mass. The impacted stools were successfully removed endoscopically, and there were no serious complications such as bowel perforation or generalized peritonitis that would require surgery. This case demonstrates that endoscopic removal can be an effective and less invasive treatment option for barium impaction, which carries a risk of requiring surgical intervention. Although patients are usually advised to hydrate and take laxatives after the examination, this case highlights the importance of ensuring that patients fully understand the potential risk and the need to seek prompt medical attention.
Keywords: barium sulfate; complication; endoscopic surgical procedure; fecal impaction; upper gastrointestinal series.
© 2025 The Author(s). DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.
Conflict of interest statement
The authors declare no conflicts of interest.
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References
-
- Hamashima C., “Systematic Review Group and Guideline Development Group for Gastric Cancer Screening Guidelines. Update Version of the Japanese Guidelines for Gastric Cancer Screening,” Japanese Journal of Clinical Oncology 48 (2018): 673–683. - PubMed
-
- Kurer M. A., Davey C., and Chintapatla S., “Intestinal Obstruction From Inspissated Barium (Barolith): A Systematic Review of all Cases From 1950 to 2006,” Colorectal Disease 10 (2008): 431–439. - PubMed
-
- Matsuo S., Eguchi S., Azuma T., et al., “An Unusual Perforation of the Colon: Report of Two Cases,” Surgery Today 32 (2002): 836–839. - PubMed
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