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Two Cases of Colonic Perforation Following Upper Gastrointestinal Barium Examinations

Year: 2024

Type: article

Abstract: This report presents two cases of colonic perforation that occurred following an upper gastrointestinal series (UGIS) with barium as part of a health screening. UGIS is a widely performed examination in Japan and is useful for the early detection of gastric cancer and peptic ulcers, but it carries a rare risk of causing serious gastrointestinal perforation. This study details the mechanisms of perforation, risk factors, difficulties in imaging diagnosis, and treatment options. Cases of perforation require early diagnosis and appropriate surgical intervention, with Hartmann's procedure or colostomy being the common choices. This case series emphasizes the need to recognize the potential risks associated with UGIS, even though it is considered relatively safe. With the advancement of endoscopic examination technology in recent years, endoscopy is increasingly being adopted as an alternative to UGIS in health screenings, and there is a need to reconsider future examination methods.

Source: Cureus

DOI: 10.7759/cureus.74892

Authors: Hideo Kidogawa, Ryo Nonomura, Toshihito Uehara, Shin Shinyama, Kohji Okamoto

Institutions: Kitakyushu City Hospital Organization, Kitakyushu City Yahata Hospital, Tohoku Medical and Pharmaceutical University

Language: English

Topic: Esophageal and GI Pathology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404889136