Buried bumper syndrome: A late complication of PEG tube insertion

Abstract

The identification of BBS is crucial to avoid serious complications including sepsis and peritonitis. The diagnosis can be made clinically or from endoscopy. The exact site of the migrated PEG internal bumper can be demonstrated on imaging study.

Acute Buried Bumper Syndrome: A Case Report

“…A PEG tube is a reliable feeding modality for patients requiring long-term enteral feeding support [1,2].…”

“…A PEG tube is a reliable feeding modality for patients requiring long-term enteral feeding support [ 1 , 2 ]. Gaunderer and Ponsky introduced this intervention in the 1980s as a feeding alternative for patients with oropharyngeal dysphagia [ 1 ].…”

“…A percutaneous endoscopic gastrostomy (PEG) tube is a standard feeding modality for patients requiring long-term enteral feeding support [1,2], and its use has been increasing since the 1980s [3][4][5]. Buried bumper syndrome (BBS) is a rare but serious long-term complication of PEG tube feeding [6][7][8] and has a prevalence of 1.5% to 9% [2,6]. A PEG tube usually lasts up to 1-2 years, and tube degradation often indicates replacement [9,10].…”