Buried bumper syndrome: a rare complication of percutaneous endoscopic gastrostomy.

Kurek, Krzysztof; Baniukiewicz, Andrzej; Świdnicka-Siergiejko, Agnieszka Katarzyna

doi:10.5114/wiitm.2015.54056

Cited by 6 publications

(9 citation statements)

References 18 publications

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“…Some suggested repositioning of the buried bumper into the gastric lumen. Others recommend extraction of buried bumper and placement of a new PEG tube through the same or adjacent tract with the following techniques: (1)via the guidewire to the gastric lumen with endoscope, reposition can be done using a bougie or a hydrostatic balloon dilator ; (2) using a gasper under the guidance of endoscope; (3) through radial incision made over the bumper using a wire guided papillotome after guidewire recannulation of gastric wall [7,8,9];(4) via star like radial incisions of gastric wall using a needle -knife; (5) reposition with a thin gastroscope through PEG tube using rotational movements under direct vision [10];(6)external removal of bumper through radial incisions in anterior abdomen wall [11] and 7under fluoroscopic assistance , reposition of the bumper with stiff guidewire or bougie. However, in complicated cases with sepsis, peritonitis or fistulas, laparotomy and surgical removal of buried bumper is a must.…”

Section: Discussionmentioning

confidence: 99%

A Rare but Fetal Complication of PEG: Buried Bumper Syndrome (BBS)

Kh¹,

Sargi²,

Lin³

et al. 2018

JGPLD

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Section: Discussionmentioning

confidence: 99%

A Rare but Fetal Complication of PEG: Buried Bumper Syndrome (BBS)

Kh¹,

Sargi²,

Lin³

et al. 2018

JGPLD

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“…Its incidence ranges between 0.3% and 2.4% [2], but, according to others, it can occur in 0.9% to over 8% [3] of adult patients with PEG. Although this complication is considered as late one, early cases have also been described [4], probably by vigorous traction of the cannula or tightness of the external bolster [1].…”

Section: Introductionmentioning

confidence: 94%

Buried Bumper Syndrome: A Case Report of a Rare Complication of Percutaneous Endoscopic Gastrostomy

et al. 2016

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Percutaneous endoscopic gastrostomy (PEG) is thought to be a, relatively, safe procedure with a low rate of complications. Buried bumper syndrome (BBS) is the migration of the internal fixation device of PEG (bumper) out of the stomach and consists of a major and, usually, late complication with potentially lethal results. We present a case of such complication resulting in an extended anterior abdominal wall necrosis. An 87-year-old woman with a PEG placement 6 months before, due to Alzheimer's disease and inability of oral feeding, presented in a severe septic condition and with necrotic inflammation of the abdominal wall. Computerized tomography confirmed the migration of internal bumper subcutaneously. Excision of the gastrostomy and surgical debridement was performed, but, due to the patient's deteriorated condition, she died after 24 hours. PEG is ideal for patients with swallowing deficiencies, but severe complications may occur. Prevention and initiate diagnosis of the BBS are important for an early treatment, in order to avoid such severe complications.

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“…Introduced in the 1980s, the development of the Percutaneous Endoscopic Gastrostomy (PEG) has revolutionized long-term enteral feeding for patients in whom oral feeding has become impossible or undesirable (1)(2)(3). Typically used in patients with swallowing disturbances, PEG-feeding has been used in oncological disease, for example head and neck tumors, as well as following cerebrovascular events (4,5).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic management of buried bumper syndrome using the Balloon Dilation Pull (BDP) technique: a multicenter analysis

Maly¹,

Bronswijk²,

Christiaens³

et al. 2023

AGEB

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Background and study aims: Buried bumper syndrome (BBS) may complicate percutaneous endoscopic gastrostomy placement. In these patients, endoscopic treatment ought to be considered. Various approaches have been published, ranging from dissectionbased techniques to novel dedicated devices, although the evidence supporting the use of the Balloon Dilation Pull (BDP) technique has been limited to single case reports. The aim of this paper is to assess the feasibility, efficacy and safety of the systematic use of the BDPtechnique for the endoscopic treatment of BBS. Patients and methods: We performed a retrospective multicenter analysis of prospectively collected data from all patients treated with the BDP-technique between January 2011 and November 2021. Results: In total, 26 patients were identified (median age 72 (SD ± 13) years, 74% male, 84.6% underlying neurological disease). Technical success was achieved in 92.3%, with a median procedure time of 17.5 minutes (range 5-27). Adverse events were identified in 3.8% of patients (N=1, aspiration, ASGE lexicon severity grade: moderate). Conclusions: Our experience suggests that the BDP-technique is highly efficacious and safe, using accessories readily available in every endoscopic unit. Given the limited procedure time and tools required, this procedure has the potential to further optimize patient care in the context of BBS.

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Buried bumper syndrome: a rare complication of percutaneous endoscopic gastrostomy.

Cited by 6 publications

References 18 publications

A Rare but Fetal Complication of PEG: Buried Bumper Syndrome (BBS)

A Rare but Fetal Complication of PEG: Buried Bumper Syndrome (BBS)

Buried Bumper Syndrome: A Case Report of a Rare Complication of Percutaneous Endoscopic Gastrostomy

Endoscopic management of buried bumper syndrome using the Balloon Dilation Pull (BDP) technique: a multicenter analysis

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