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The push-pull T technique: an easy and safe procedure in children with the buried bumper syndrome.
Nutr Clin Pract. 2008 Dec-2009 Jan; 23(6):655-7.NC

Abstract

Percutaneous endoscopic gastrostomy (PEG) tube placement is a well-established procedure in adults as well as in pediatric patients who cannot be orally fed. However, potential serious complications may occur. The buried bumper syndrome is a well-recognized long-term complication of PEG. Overgrowth of gastric mucosa over the inner bumper of the tube will cause mechanical failure of formula delivery, rendering the tube useless. However, published experience in children with buried bumper syndrome is very scarce. In the authors' clinic, 76 PEG tubes were placed from 2001 to 2008, and buried bumper syndrome occurred in 1 patient. The authors report on their experience with buried bumper syndrome, an adapted safe endoscopic removal technique, as well as recommendations for prevention of buried bumper syndrome.

Authors+Show Affiliations

Pediatric Gastroenterology, University Children's Hospital, Roemergasse 8, 4005 Basel, Switzerland.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19033226

Citation

Furlano, Raoul I., et al. "The Push-pull T Technique: an Easy and Safe Procedure in Children With the Buried Bumper Syndrome." Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, vol. 23, no. 6, 2009, pp. 655-7.
Furlano RI, Sidler M, Haack H. The push-pull T technique: an easy and safe procedure in children with the buried bumper syndrome. Nutr Clin Pract. 2009;23(6):655-7.
Furlano, R. I., Sidler, M., & Haack, H. (2009). The push-pull T technique: an easy and safe procedure in children with the buried bumper syndrome. Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, 23(6), 655-7. https://doi.org/10.1177/0884533608326229
Furlano RI, Sidler M, Haack H. The Push-pull T Technique: an Easy and Safe Procedure in Children With the Buried Bumper Syndrome. Nutr Clin Pract. 2008 Dec-2009 Jan;23(6):655-7. PubMed PMID: 19033226.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The push-pull T technique: an easy and safe procedure in children with the buried bumper syndrome. AU - Furlano,Raoul I, AU - Sidler,Marc, AU - Haack,Horst, PY - 2008/11/27/pubmed PY - 2009/2/3/medline PY - 2008/11/27/entrez SP - 655 EP - 7 JF - Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition JO - Nutr Clin Pract VL - 23 IS - 6 N2 - Percutaneous endoscopic gastrostomy (PEG) tube placement is a well-established procedure in adults as well as in pediatric patients who cannot be orally fed. However, potential serious complications may occur. The buried bumper syndrome is a well-recognized long-term complication of PEG. Overgrowth of gastric mucosa over the inner bumper of the tube will cause mechanical failure of formula delivery, rendering the tube useless. However, published experience in children with buried bumper syndrome is very scarce. In the authors' clinic, 76 PEG tubes were placed from 2001 to 2008, and buried bumper syndrome occurred in 1 patient. The authors report on their experience with buried bumper syndrome, an adapted safe endoscopic removal technique, as well as recommendations for prevention of buried bumper syndrome. SN - 0884-5336 UR - https://www.unboundmedicine.com/medline/citation/19033226/The_push_pull_T_technique:_an_easy_and_safe_procedure_in_children_with_the_buried_bumper_syndrome_ L2 - https://doi.org/10.1177/0884533608326229 DB - PRIME DP - Unbound Medicine ER -