{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:10:31Z","timestamp":1790172631130,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Barium sulfate is widely used as a radiographic contrast medium in upper gastrointestinal barium X\u2010ray 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\u2010year\u2010old woman who developed colonic obstruction following upper gastrointestinal barium X\u2010ray 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.<\/jats:p>","DOI":"10.1002\/deo2.70182","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T03:04:22Z","timestamp":1754535862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Removal of Impacted Barium Stools Using a Snare and a Long Hood: A Rare Complication Following Upper Gastrointestinal Barium X\u2010ray Radiography (With Video)"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6302-5059","authenticated-orcid":false,"given":"Takaaki","family":"Kishino","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Center for Digestive and Liver Diseases Nara City Hospital  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Center for Digestive and Liver Diseases Nara City Hospital  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Fukumoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Center for Digestive and Liver Diseases Nara City Hospital  Nara Japan"},{"name":"Department of Gastroenterology and Hepatology Saiseikai Suita Hospital Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyy077"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01503.x"},{"key":"e_1_2_6_4_1","article-title":"Surgical Management of Barium Impaction: A Case Report","volume":"16","author":"Sharpe B.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005950200163"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-013-0696-0"},{"key":"e_1_2_6_7_1","article-title":"Surgical Management of Intestinal Obstruction Secondary to Barium Impaction: Two Exemplary Cases","volume":"16","author":"Noor M. S.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_6_8_1","first-page":"519","article-title":"Intestinal Obstruction Due to Bariolith Impaction","volume":"115","author":"Vieiro Medina M. V.","year":"2023","journal-title":"Spanish Journal of Digestive Diseases"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2014.12.029"},{"key":"e_1_2_6_10_1","first-page":"172","article-title":"Committee Report: The JSGCS National Survey on Complications Related to Gastric Cancer Screening Using Barium X\u2010ray Radiography","volume":"63","author":"Kato K.","year":"2025","journal-title":"Journal of the Japanese Society of Gastrointestinal Cancer Screening"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2024-263337"}],"container-title":["DEN Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/deo2.70182","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/deo2.70182","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/deo2.70182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:58:07Z","timestamp":1790171887000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/deo2.70182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,6]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/deo2.70182"],"URL":"https:\/\/doi.org\/10.1002\/deo2.70182","archive":["Portico"],"relation":{},"ISSN":["2692-4609","2692-4609"],"issn-type":[{"value":"2692-4609","type":"print"},{"value":"2692-4609","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,6]]},"assertion":[{"value":"2025-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70182"}}