Endoscopic management of buried bumper syndrome: the balloon-dilation pull technique

Bronswijk, Michiel; Maly, Marlies; Snauwaert, Christophe; Christiaens, Paul

doi:10.1055/a-1775-7786

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2023

2024

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“…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]. A PEG tube usually lasts up to 1-2 years, and tube degradation often indicates replacement [9,10].…”

Section: Introductionmentioning

confidence: 99%

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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