A novel laparoscopic approach for the surgical management of buried bumper syndrome

Ehsan, Saima; Dyall, Lovesh; Ubhi, S. S.

doi:10.1308/rcsann.2012.94.1.61b

Cited by 11 publications

(6 citation statements)

References 3 publications

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“…These include external traction, endoscopic, laparotomy, radiological-guided, and laparoscopic excision. [4][5][6][7][8][9]11,13 Our experience in an uncomplicated buried bumper, that is, without an inflammatory mass favors endoscopic-guided removal. In children with an inflammatory mass, laparoscopic-assisted excision facilitates dissection, minimizes tissue disruption, and should be the first choice.…”

Section: Discussionmentioning

confidence: 98%

Management of a Complication of Percutaneous Gastrostomy in Children

Singh¹,

Eaton

Cross

et al. 2012

Eur J Pediatr Surg

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Section: Discussionmentioning

confidence: 98%

Management of a Complication of Percutaneous Gastrostomy in Children

Singh¹,

Eaton

Cross

et al. 2012

Eur J Pediatr Surg

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“…When BBS does occur, the removal of the tube is necessary for the prevention of secondary complications. Although endoscopic or surgical retrieval, open or laparoscopic, can be performed [14,15], new methods have also been described, such as NOTES [16]. However, efforts to re-introduction of the bumper in the stomach, through endoscopy, have also been reported [17].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2016

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Percutaneous endoscopic gastrostomy (PEG) is thought to be a, relatively, safe procedure with a low rate of complications. Buried bumper syndrome (BBS) is the migration of the internal fixation device of PEG (bumper) out of the stomach and consists of a major and, usually, late complication with potentially lethal results. We present a case of such complication resulting in an extended anterior abdominal wall necrosis. An 87-year-old woman with a PEG placement 6 months before, due to Alzheimer's disease and inability of oral feeding, presented in a severe septic condition and with necrotic inflammation of the abdominal wall. Computerized tomography confirmed the migration of internal bumper subcutaneously. Excision of the gastrostomy and surgical debridement was performed, but, due to the patient's deteriorated condition, she died after 24 hours. PEG is ideal for patients with swallowing deficiencies, but severe complications may occur. Prevention and initiate diagnosis of the BBS are important for an early treatment, in order to avoid such severe complications.

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“…These options, though sophisticated, may be considered in the management of these patients [6,7]. A combined laparoendoscopic approach may also be used in the management of buried bumper syndrome, as has been successfully done and reported by Ehsan et al [8].…”

Section: Discussionmentioning

confidence: 99%

Wandering Gastrostomy

2015

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Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal pathology. Complications that follow this common procedure include dislodgement, dysfunction, infection, gastric/colonic perforation, bleeding, peritonitis, or death. The emergency physician should be aware of the complications and symptoms/signs associated for appropriate management of these patients. We present a case of a young lady who developed a cerebral infarction following amniotic fluid embolism during her cesarean section and had undergone a PEG tube placement. She developed displacement of this PEG tube and underwent another PEG tube placement. She later presented to us with PEG tube migration into the transverse colon and required surgical removal of the same PEG tube.

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A novel laparoscopic approach for the surgical management of buried bumper syndrome

Cited by 11 publications

References 3 publications

Management of a Complication of Percutaneous Gastrostomy in Children

Management of a Complication of Percutaneous Gastrostomy in Children

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

Wandering Gastrostomy

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