Buried bumper--the endoscopic approach.Arab J Gastroenterol. 2014 Jun; 15(2):82-4.AJ
Buried bumper syndrome--ingrowth of the internal bumper of a percutaneous endoscopic gastrostomy (PEG) into the gastric wall--is one of the serious long-term complications of enteral nutrition using PEG systems. There are various endoscopic methods of managing the problem. We report here on a case successfully and rapidly treated with the method described by Müller-Gerbes et al., using a papillotome introduced over a guide wire.