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The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy.
Am J Gastroenterol. 1990 Apr; 85(4):448-51.AJ

Abstract

Percutaneous endoscopic gastrostomy is used for long-term nutritional support and can be performed with relatively few complications. We describe a patient in whom the internal bumper eroded into the stomach wall and was completely covered by gastric epithelium 11 months after gastrostomy tube placement. The gastrostomy tube itself was patent, and the end still protruded into the lumen of the stomach so that tube feeding was not impaired. Endoscopy, in combination with passage of Savary dilators over a guidewire, was safely used to remove the gastrostomy tube and buried bumper. We recommend this approach in patients with the "buried bumper" syndrome to prevent continued tube migration into the gastric and abdominal walls.

Authors+Show Affiliations

Department of Internal Medicine (Division of Gastroenterology), University of Texas Medical Branch, Galveston.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

2109527

Citation

Klein, S, et al. "The "buried Bumper Syndrome": a Complication of Percutaneous Endoscopic Gastrostomy." The American Journal of Gastroenterology, vol. 85, no. 4, 1990, pp. 448-51.
Klein S, Heare BR, Soloway RD. The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1990;85(4):448-51.
Klein, S., Heare, B. R., & Soloway, R. D. (1990). The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy. The American Journal of Gastroenterology, 85(4), 448-51.
Klein S, Heare BR, Soloway RD. The "buried Bumper Syndrome": a Complication of Percutaneous Endoscopic Gastrostomy. Am J Gastroenterol. 1990;85(4):448-51. PubMed PMID: 2109527.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy. AU - Klein,S, AU - Heare,B R, AU - Soloway,R D, PY - 1990/4/1/pubmed PY - 1990/4/1/medline PY - 1990/4/1/entrez SP - 448 EP - 51 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 85 IS - 4 N2 - Percutaneous endoscopic gastrostomy is used for long-term nutritional support and can be performed with relatively few complications. We describe a patient in whom the internal bumper eroded into the stomach wall and was completely covered by gastric epithelium 11 months after gastrostomy tube placement. The gastrostomy tube itself was patent, and the end still protruded into the lumen of the stomach so that tube feeding was not impaired. Endoscopy, in combination with passage of Savary dilators over a guidewire, was safely used to remove the gastrostomy tube and buried bumper. We recommend this approach in patients with the "buried bumper" syndrome to prevent continued tube migration into the gastric and abdominal walls. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/2109527/The_"buried_bumper_syndrome":_a_complication_of_percutaneous_endoscopic_gastrostomy_ L2 - https://www.lens.org/lens/search/patent/list?q=citation_id:2109527 DB - PRIME DP - Unbound Medicine ER -
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