Acute Buried Bumper Syndrome with Gastric Perforation and Peritonitis: A Rare Complication of Percutaneous Endoscopic Gastrostomy: Case Report

2012 ◽  
Vol 32 (6) ◽  
pp. 1791-1795
Author(s):  
Mesut AKARSU ◽  
Funda UĞUR KANTAR
Keyword(s):  
Case Report ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Gastric Perforation ◽  
Rare Complication ◽  
Endoscopic Gastrostomy ◽  
Buried Bumper Syndrome

scholarly journals Buried Bumper Syndrome: A Case Report of a Rare Complication of Percutaneous Endoscopic Gastrostomy

2016 ◽  
Vol 7 (8) ◽  
pp. 331-333
Author(s):  
Daniel Paramythiotis ◽  
Konstantinia Kofina ◽  
Vassileios Papadopoulos ◽  
Antonios Michalopoulos
Keyword(s):  
Case Report ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Endoscopic Gastrostomy ◽  
Buried Bumper Syndrome

scholarly journals The Challenging Buried Bumper Syndrome after Percutaneous Endoscopic Gastrostomy

2016 ◽  
Vol 10 (2) ◽  
pp. 224-232 ◽  
Author(s):  
Ibrahim Afifi ◽  
Ahmad Zarour ◽  
Ammar Al-Hassani ◽  
Ruben Peralta ◽  
Ayman El-Menyar ◽  
...  
Keyword(s):  
Septic Shock ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Kidney Injury ◽  
Stomach Wall ◽  
Rapid Progression ◽  
Tube Insertion ◽  
Endoscopic Gastrostomy ◽  
Buried Bumper Syndrome ◽  
Peg Tube

Buried bumper syndrome (BBS) is a rare complication developed after percutaneous endoscopic gastrostomy (PEG). We report a case of a 38-year-old male patient who sustained severe traumatic brain injury that was complicated with early BBS after PEG tube insertion. On admission, bedside PEG was performed, and 7 days later the patient developed signs of sepsis with rapid progression to septic shock and acute kidney injury. Abdominal CT scan revealed no collection or leakage of the contrast, but showed malpositioning of the tube bumper at the edge of the stomach and not inside of it. Diagnostic endoscopy revealed that the bumper was hidden in the posterolateral part of the stomach wall forming a tract inside of it, which confirmed the diagnosis of BBS. The patient underwent laparotomy with a repair of the stomach wall perforation, and the early postoperative course was uneventful. Acute BBS is a rare complication of PEG tube insertion which could be manifested with severe complications such as pressure necrosis, peritonitis and septic shock. Early identification is the mainstay to prevent such complications. Treatment selection is primarily guided by the presenting complications, ranging from simple endoscopic replacement to surgical laparotomy.

The Buried Bumper Syndrome - A Rare Complication Following Percutaneous Endoscopic Gastrostomy

Swiss Surgery ◽  
1999 ◽  
Vol 5 (5) ◽  
pp. 243-246 ◽  
Author(s):  
Spalinger ◽  
Schmid ◽  
Bertschinger ◽  
Schöb ◽  
Largiadèr
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Endoscopic Gastrostomy ◽  
Sind Eine ◽  
Buried Bumper Syndrome

Das buried bumper-Syndrom ist eine seltene Komplikation nach perkutaner endoskopischer Gastrostomie (PEG). Dabei kommt es zu einer Überwucherung der PEG-Platte mit hypertropher Magenschleimhaut und Einwachsen der Platte in die Magenwand. Dies wird wahrscheinlich durch ein zu straffes Anziehen der PEG-Sonde begünstigt. Endoskopisch ist die Halteplatte nicht mehr sichtbar. Die Symptome des buried bumper-Syndroms sind eine schlecht durchgängige und nicht mobilisierbare PEG-Sonde, Sekretion neben der Sonde und Oberbauchschmerzen. Meistens ist eine endoskopische Entfernung der Platte möglich. Gelingt dies nicht, ist die operative Entfernung der Sonde nötig. Nach endoskopischer Entfernung der Sonde ist eine erneute endoskopische Sondeneinlage möglich.

scholarly journals Buried bumper syndrome presenting with bleeding

2018 ◽  
Vol 11 (1) ◽  
pp. e225876 ◽  
Author(s):  
Khaled Bamakhrama ◽  
Tahani Ahmed Aldaham ◽  
Omar Alassaf
Keyword(s):  
Emergency Department ◽  
Physical Examination ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Patient Treatment ◽  
Endoscopic Gastrostomy ◽  
Buried Bumper Syndrome ◽  
Peg Tube

Buried bumper syndrome (BBS) is a relatively rare complication of percutaneous endoscopic gastrostomy (PEG) feeding. In this paper, we report the case of a 74-year-old man who attended the emergency department with bleeding from the PEG tube site that was later confirmed by endoscopy to be BBS. The treatment consisted of a PEG tube replacement with a 10-day course of antibiotics. Furthermore, this report discusses possible signs, symptoms and physical examination signs suggesting BBS. It can cause serious complications that might sometimes be fatal. Therefore, the diagnosis needs to be done swiftly and the patient treatment to start without delay. BBS should always top the differentials of physicians once suspected.

SUN-PP253: Gastric Perforation after Colocation of Percutaneous Endoscopic Gastrostomy. An Unusual case report

2015 ◽  
Vol 34 ◽  
pp. S117
Author(s):  
G.Z.M. Victoria ◽  
M. Ferrer Gómez ◽  
R. Ballester Sajardo ◽  
L. Martinez Gonzalez ◽  
E. Saura Guillen ◽  
...  
Keyword(s):  
Case Report ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Unusual Case ◽  
Gastric Perforation ◽  
Endoscopic Gastrostomy ◽  
Unusual Case Report

scholarly journals Buried bumper syndrome – a rare complication of percutaneous endoscopic gastrostomy tube feeding

2012 ◽  
Vol 2 ◽  
pp. 111-113
Author(s):  
Anna Borkowska ◽  
Agnieszka Jankowska ◽  
Agnieszka Szlagatys-Sidorkiewicz ◽  
Piotr Landowski ◽  
Barbara Kamińska
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Tube Feeding ◽  
Gastrostomy Tube ◽  
Percutaneous Endoscopic Gastrostomy Tube ◽  
Endoscopic Gastrostomy ◽  
Buried Bumper Syndrome
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