PEG feeding tube migration and erosion into the abdominal wall

Nelson, Alan M.

doi:10.1016/s0016-5107(89)72734-6

Cited by 16 publications

(17 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the past, BBS was mainly reported in patients who underwent PEG by the Sacks‐Vine PEG system 2,9–12 . This system consisted of a hard and dome‐shaped bumper which was predisposed to increased local tissue pressure because the design provides a small surface area to be in direct contact with the gastric mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…BBS is caused by local ischemic necrosis of the gastric wall due to severe pressure of the kit. The first case of BBS was reported in 1988, and the rate of this complication ranges from 1.6% to 6.1% 9–14 . Recently, this complication is increasing in frequency along with the widespread use of the button‐type kit.…”

Section: Introductionmentioning

confidence: 99%

“…The first case of BBS was reported in 1988, and the rate of this complication ranges from 1.6% to 6.1%. [9][10][11][12][13][14] Recently, this complication is increasing in frequency along with the widespread use of the button-type kit. Although this kit allows easy percutaneous replacement of PEG, reports on BBS seems to be higher than with a conventional technique.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Analysis of Buried Bumper Syndrome After Percutaneous Endoscopic Gastrostomy Due to Use of a Button‐type Kit

Usuba¹,

Suzuki²,

Kuramochi³

et al. 2006

Digestive Endoscopy

View full text Add to dashboard Cite

Background: Buried bumper syndrome (BBS) is a rare complication of percutaneous endoscopic gastrostomy (PEG). Along with the widespread use of the button-type kit, BBS is encountered frequently. Methods: In the present study, we examined causes and treatments for BBS among 1400 patients who had undergone PEG. Results: The causes of BBS after PEG were classified into two categories: early causes consisted of wound infection, inappropriate size of kit and severe lordosis, while late causes were inappropriate exchange of kit, rough management or weight gain. The treatments for BBS could be determined by the degree of wound infection, fistula and burial of the bumper. Conclusion: We prepared a flowchart for replacement, by which BBS can be managed safely and quickly without surgical or endoscopic intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of Buried Bumper Syndrome After Percutaneous Endoscopic Gastrostomy Due to Use of a Button‐type Kit

Usuba¹,

Suzuki²,

Kuramochi³

et al. 2006

Digestive Endoscopy

View full text Add to dashboard Cite

show abstract

“…Several recent reports have also described external migration of the PEG tube with impaction in the gastric or anterior abdominal wall [10][11][12][13][14]. This complication is felt to result from excessive traction on the tube with subsequent ischemia and pressure necrosis.…”

Section: Discussionmentioning

confidence: 99%

Extrusion of PEG tube from the stomach with fistula formation: An unusual complication of percutaneous endoscopic gastrostomy

Goodman

Levine

Parkman

1991

Gastrointest Radiol

View full text Add to dashboard Cite

Percutaneous endoscopic gastrostomy (PEG) has become an accepted technique for providing long-term enteral feeding. We report two cases of extrusion of the PEG tube into a short fistulous tract that communicates with the stomach. Although this unusual complication led to difficulty with tube feedings, both patients were asymptomatic, and, in one case, it was possible to reposition another catheter in the stomach via the fistula.

show abstract

“…A number of approaches have been used for the treatment of buried bumper syndrome. Initial reports used incision of the skin and dissection to remove the impacted bumper, followed by insertion of the replacement tube (Shallman et al, 1988, Nelson, 1989, Lee, 1990. Another strategy involves placing a guidewire through the impacted tube, followed by pushing the impacted bumper into the stomach using dilators externally.…”

Section: Buried Bumper Syndromementioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy in Pediatric Patients

Saadah¹

2011

Gastrostomy

View full text Add to dashboard Cite

PEG feeding tube migration and erosion into the abdominal wall

Cited by 16 publications

References 5 publications

Analysis of Buried Bumper Syndrome After Percutaneous Endoscopic Gastrostomy Due to Use of a Button‐type Kit

Analysis of Buried Bumper Syndrome After Percutaneous Endoscopic Gastrostomy Due to Use of a Button‐type Kit

Extrusion of PEG tube from the stomach with fistula formation: An unusual complication of percutaneous endoscopic gastrostomy

Percutaneous Endoscopic Gastrostomy in Pediatric Patients

Contact Info

Product

Resources

About