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The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management.
Turk J Gastroenterol. 2008 Mar; 19(1):45-8.TJ

Abstract

Percutaneous endoscopic gastrostomy is a safe and easy method and carries a low mortality and complication rate. The buried bumper syndrome is a rare and late complication of percutaneous endoscopic gastrostomy tube placement. An 80-year-old man with bilateral basal ganglia bleeding was unable to swallow safely and required tube feeding. A Flexiflo Inverta percutaneous endoscopic gastrostomy tube was successfully inserted by pull technique. One year later, he was readmitted to our clinic because of nonfunctioning tube and peristomal cellulites. Endoscopy demonstrated dimpling of the gastric mucosa on the anterior wall of the stomach. Abdominal computed tomography revealed the bumper to be buried in the abdominal wall. The tube was removed by external traction, without any abdominal incision, and a different site was used for the insertion of a new percutaneous endoscopic gastrostomy tube. No further problems were encountered over the follow-up period of nine months. As a result, the Flexiflo Inverta percutaneous endoscopic gastrostomy tubes with externally removable internal bumpers were found useful in the treatment of buried bumper syndrome, and the buried bumper was easily removed by external traction without any endoscopic or surgical methods.

Authors+Show Affiliations

Department of Gastroenterology, Diyarbakir Military Hospital, Diyarbakir. ahmeterdil@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18386240

Citation

Erdil, Ahmet, et al. "The Buried Bumper Syndrome: the Usefulness of Retrieval PEG Tubes in Its Management." The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology, vol. 19, no. 1, 2008, pp. 45-8.
Erdil A, Genç H, Uygun A, et al. The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management. Turk J Gastroenterol. 2008;19(1):45-8.
Erdil, A., Genç, H., Uygun, A., Ilica, A. T., & Dağalp, K. (2008). The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management. The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology, 19(1), 45-8.
Erdil A, et al. The Buried Bumper Syndrome: the Usefulness of Retrieval PEG Tubes in Its Management. Turk J Gastroenterol. 2008;19(1):45-8. PubMed PMID: 18386240.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management. AU - Erdil,Ahmet, AU - Genç,Halil, AU - Uygun,Ahmet, AU - Ilica,Ahmet Turan, AU - Dağalp,Kemal, PY - 2008/4/4/pubmed PY - 2009/3/28/medline PY - 2008/4/4/entrez SP - 45 EP - 8 JF - The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology JO - Turk J Gastroenterol VL - 19 IS - 1 N2 - Percutaneous endoscopic gastrostomy is a safe and easy method and carries a low mortality and complication rate. The buried bumper syndrome is a rare and late complication of percutaneous endoscopic gastrostomy tube placement. An 80-year-old man with bilateral basal ganglia bleeding was unable to swallow safely and required tube feeding. A Flexiflo Inverta percutaneous endoscopic gastrostomy tube was successfully inserted by pull technique. One year later, he was readmitted to our clinic because of nonfunctioning tube and peristomal cellulites. Endoscopy demonstrated dimpling of the gastric mucosa on the anterior wall of the stomach. Abdominal computed tomography revealed the bumper to be buried in the abdominal wall. The tube was removed by external traction, without any abdominal incision, and a different site was used for the insertion of a new percutaneous endoscopic gastrostomy tube. No further problems were encountered over the follow-up period of nine months. As a result, the Flexiflo Inverta percutaneous endoscopic gastrostomy tubes with externally removable internal bumpers were found useful in the treatment of buried bumper syndrome, and the buried bumper was easily removed by external traction without any endoscopic or surgical methods. SN - 2148-5607 UR - https://www.unboundmedicine.com/medline/citation/18386240/The_buried_bumper_syndrome:_the_usefulness_of_retrieval_PEG_tubes_in_its_management_ DB - PRIME DP - Unbound Medicine ER -