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Updated: May 25, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Gastric bezoar caused by barium sulphate]
Kristina Rue Nielsen1, Caroline Ewertsen, Jens Georg Hillingsø
1Radiologisk Klinik, Rigshospitalet, Blegdamsvej 9, 2100 København Ø, Denmark. mariekristinanielsen@hotmail.com
Abstract:
We present the first case of a gastric bezoar caused by barium sulphate acting as an intermittently occluding mass in a patient who had undergone small bowel follow-through on suspicion of small bowel obstruction (SBO) after total pancreatectomy. The patient underwent acute surgery but intermittent symptoms of SBO persisted. A barium bezoar was seen on plain abdominal film and afterwards diluted and fragmented gastroscopically. A barium bezoar giving rise to SBO is a possible complication to barium follow-through in patients with impaired gastric transit time.
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