Buried bumper syndrome presenting with bleeding

Bamakhrama, Khaled; Aldaham, Tahani Ahmed; Al-Assaf, Omar Yousef

doi:10.1136/bcr-2018-225876

Cited by 4 publications

(8 citation statements)

References 7 publications

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“…These may include peristomal leakage with peritonitis, severe sepsis, post PEG fistula, gastro-enteric or gastro-colonic fistula, necrotizing fasciitis of the anterior abdominal wall, gastric bleeding [ 1 , 8 , 11 ], tumor seeding at the PEG site, BBS, or death. Some case reports have also reported internal organ perforation after PEG placement [ 4 ]. Proper techniques for transillumination and abdominal palpation may avert visceral organ perforation [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…A percutaneous endoscopic gastrostomy (PEG) tube is a standard feeding modality for patients requiring long-term enteral feeding support [1,2], and its use has been increasing since the 1980s [3][4][5]. Buried bumper syndrome (BBS) is a rare but serious long-term complication of PEG tube feeding [6][7][8] and has a prevalence of 1.5% to 9% [2,6].…”

Section: Introductionmentioning

confidence: 99%

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Acute Buried Bumper Syndrome: A Case Report

Bathobakae¹,

Leone²,

Elagami³

et al. 2023

Cureus

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Buried bumper syndrome (BBS) is a rare but severe complication of percutaneous endoscopic gastrostomy (PEG) tube feeding. Patients with BBS lose PEG tube patency and may experience peristomal pain, content leaks, or peritonitis. An early diagnosis can avert further complications. BBS is a clinical diagnosis, but an abdominal computerized tomography scan or upper endoscopy is needed to confirm the diagnosis. BBS is a long-term complication of PEG tube feeding, and cases of acute onset are scant in the literature. We report a unique case of a 65-year-old female with a history of stroke who developed BBS five weeks after PEG tube placement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute Buried Bumper Syndrome: A Case Report

Bathobakae¹,

Leone²,

Elagami³

et al. 2023

Cureus

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show abstract

“…[ 6 ] demonstrated the development of BBS at Day 8 [ 6 ]. If left unrecognized, BBS can lead to the development of gastric bleeding, perforation, peritonitis, abdominal wall collections and sepsis [ 7 , 8 ]. Therefore, prompt recognition and diagnosis of this condition is paramount to instigate timely management.…”

Section: Introductionmentioning

confidence: 99%

Buried bumper syndrome: a case report of an early PEG gastropexy-associated complication in a patient with gastric volvulus

Dhannoon

Alkhattab

Sehgal

2021

Journal of Surgical Case Reports

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Buried bumper syndrome (BBS) is a rare complication associated with percutaneous endoscopic gastrostomy (PEG) tubes. It develops when the internal bumper migrates through the gastric wall, lodging anywhere along the gastrostomy tract leading to overgrowth of gastric mucosa thereby encasing the tube. BBS can lead to bleeding, perforation, peritonitis and intra-abdominal sepsis. Our case is a 71-year-old female presenting with tenderness, erythema and purulent discharge at the PEG tube site 2-weeks post-insertion. Computer tomography scan demonstrated the PEG had dislodged with the internal bumper in the subcutaneous tissue and the distal tip lying within the tract beyond the stomach wall. The PEG was removed by simple external traction. The patient clinically improved and discharged home on day three. Although BBS usually occurs late post-PEG insertion, it can also occur acutely. Preventative measures should be adopted at ward-level and emphasized with appropriate PEG tube care information provided to patients to avoid and recognize such complication.

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“…This is due to their infrequency, often requiring a decade's worth of patients in order to study a cohort with a specific complication, such as buried bumper syndrome. [5][6][7] Very little is documented in the literature about the nonendoscopic-related, and potentially less serious, complications that occur, particularly beyond the 30-day postinsertion period. Equally, there is little evidence on the impact of these late and less serious complications on the patient and healthcare system.…”

Section: Introductionmentioning

confidence: 99%

“…Serious complications that occur late, or are identified late, are represented in the literature in the form of case reports. This is due to their infrequency, often requiring a decade's worth of patients in order to study a cohort with a specific complication, such as buried bumper syndrome 5–7 …”

Section: Introductionmentioning

confidence: 99%

The Hidden Burden of Community Enteral Feeding on the Emergency Department

Barrett

Merrick

et al. 2020

J Parenter Enteral Nutr

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Background: Enteral feeding tubes are associated with their most serious complications in the days and weeks after insertion, but there are limited published data in the literature on late complications and the implications for the healthcare service. Methods: This is a retrospective observational study of attendances to a UK hospital emergency department (ED), with enteral tube complications as the primary reason for attendance. Results: Over 24 months, 139 attendances were recorded. Dislodged tubes and blocked tubes accounted for the majority of complications and subsequent admissions, with a mixture of enteral tube types being associated with both. Thirty-five percent of patients were admitted, and the average healthcare cost per attendance was $1071. Conclusion: Enteral tube complications can place a hidden burden on the patient, the ED, and healthcare costs. More work on education and supporting caregivers to resolve problems themselves could reduce the burden on busy EDs.

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Buried bumper syndrome presenting with bleeding

Cited by 4 publications

References 7 publications

Acute Buried Bumper Syndrome: A Case Report

Acute Buried Bumper Syndrome: A Case Report

Buried bumper syndrome: a case report of an early PEG gastropexy-associated complication in a patient with gastric volvulus

The Hidden Burden of Community Enteral Feeding on the Emergency Department

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