Are PEGJs a Risk Factor for the Buried Bumper Syndrome?

Goring, Jonathan; Lawson, Anne; Godse, Alok

doi:10.1016/j.jpedsurg.2015.10.072

Cited by 12 publications

(10 citation statements)

References 9 publications

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“…There is a reported association of buried bumpers and gastro-jejunal tubes [13] (when the gastric component of the tube is inserted as a percutaneous technique). This can be due to the reluctance of the carer to advance the gastro-jejunal device, for fear of dislodging the jejunal component.…”

Section: Discussionmentioning

confidence: 99%

Surgical jejunostomy and radiological gastro-jejunostomy tube feeding in children: risks, benefits and nutritional outcomes

et al. 2018

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PurposeRadiologically inserted gastrojejunal tubes (RGJ) and surgical jejunostomy (SJ) are established modes of jejunal feeding. The aim of the study is to review nutritional outcomes, complications and the practical consideration to enable patients and carers to make informed choice.MethodsRetrospective review of patient notes with a RGJ or SJ in 2010, with detailed follow-up and review of the literature.ResultsBoth RGJ and SJ are reliable modes to provide stable enteral nutrition. Both have complications and their own associated limitations.ConclusionsThe choice has to be tailored to the individual patient, the social care available, the inherent medical disease and risk/benefit of repeated anaesthetic and radiation exposure. RGJ and SJ are important tools for nutritional management that achieve and maintain growth in a complex group of children. The risk and benefits should be reviewed for each individual patient.

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Section: Discussionmentioning

confidence: 99%

Surgical jejunostomy and radiological gastro-jejunostomy tube feeding in children: risks, benefits and nutritional outcomes

et al. 2018

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“…In one study in paediatric patients, those with a PEG-J developed significantly more BBS than those with PEG tubes. 19 BBS is a serious complication which can be prevented with proper after care. 5 7 Treatment depends on patient condition, type of PEG-tube and degree of migration (in or outside the stomach or complete versus incomplete covering).…”

Section: Buried Bumper Syndromementioning

confidence: 99%

Prevention and management of major complications in percutaneous endoscopic gastrostomy

Boeykens

Duysburgh

2021

BMJ Open Gastroenterol

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BackgroundPercutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the ‘pull’ technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a ‘blind’ perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity.MethodAnarrative review of the literature of major complications in percutaneousendoscopic gastrostomy.ResultsThis review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice.ConclusionsMajorcomplications are rare but prevention, early recognition and popper management areimportant.

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“…Buried bumper syndrome (BBS), a complication associated with PEG placement, is the process in which the internal gastrostomy bumper erodes into or through the gastric wall. BBS may be present in ~2% of patients but can be found in up to 32% of children having a PEG with a jejunal extension 66 . Given the workup required, studies probably underestimate the incidence of this complication.…”

Section: Major Complicationsmentioning

confidence: 99%

“…Given the workup required, studies probably underestimate the incidence of this complication. BBS may occur over time, ranging from 2 months to 7 years 66 , 67 . Suboptimal gastrostomy care in association with increased tension on the gastrostomy has been identified as risk factors for BBS 67 …”

Section: Major Complicationsmentioning

confidence: 99%

Long‐Term Nutrition

et al. 2016

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Long-term nutrition support requires long-term enteral access. To ensure the success of long-term enteral access, many factors need to be taken into consideration. This article represents a guide to placing and maintaining access in patients requiring long-term nutrition and addresses many of the common questions regarding long-term enteral access, such as indications, types of access, feeding after access placed, and recognition and treatment of potential complications. This guide will help the clinician establish and maintain access to maximize nutrition in patients requiring long-term nutrition.

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Are PEGJs a Risk Factor for the Buried Bumper Syndrome?

Cited by 12 publications

References 9 publications

Surgical jejunostomy and radiological gastro-jejunostomy tube feeding in children: risks, benefits and nutritional outcomes

Surgical jejunostomy and radiological gastro-jejunostomy tube feeding in children: risks, benefits and nutritional outcomes

Prevention and management of major complications in percutaneous endoscopic gastrostomy

Long‐Term Nutrition

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