Buried bumper syndrome

Buried bumper syndrome is a condition that affects feeding tubes placed into the stomach (gastrostomy tubes) through the abdominal wall. Gastrostomy tubes include an internal bumper, which secures the inner portion of the tube inside the stomach.

Buried bumper syndrome
SpecialtyGastroenterology

Cause

Buried bumper syndrome occurs when this internal bumper erodes into the wall of the stomach, sometimes becoming entirely buried within the wall of the stomach. Buried bumper syndrome tends to be a late complication of gastrostomy tube placement, but can rarely occur as early as 3 weeks after tube placement.[1]

Diagnosis

Buried bumper syndrome may be suspected based on features consistent with this disorder. The diagnosis is confirmed either endoscopically (via upper endoscopy) or with computed tomography.[2]

Treatment

Treatment of buried bumper syndrome consists of removal of the gastrostomy tube. Several different approaches may be utilized, including endoscopy.[3]

Epidemiology

Buried bumper syndrome occurs in 0.3-2.4% of patients. Excessive tightening of the external bumper is likely a primary cause of buried bumper syndrome. Maintaining the external bumper in a loose position may help prevent buried bumper syndrome.[4] Obesity is the most important risk factor associated with buried bumper syndrome.

History

In 1980, the first percutaneous endoscopic gastrostomy (PEG) tube was reported, as an alternative to an open surgical placement of feeding tubes. The first cases of buried bumper syndrome were reported in 1988 and 1989.[5] The term "buried bumper syndrome" was first used in 1990.[3]

See also

References
  1. Geer, W; Jeanmonod, R (September 2013). "Early presentation of buried bumper syndrome". The Western Journal of Emergency Medicine. 14 (5): 421–3. doi:10.5811/westjem.2013.2.15843. PMC 3789897. PMID 24106531.
  2. Biswas, S; Dontukurthy, S; Rosenzweig, MG; Kothuru, R; Abrol, S (2014). "Buried bumper syndrome revisited: a rare but potentially fatal complication of PEG tube placement". Case Reports in Critical Care. 2014: 634953. doi:10.1155/2014/634953. PMC 4010002. PMID 24829838.
  3. Klein, S; Heare, BR; Soloway, RD (April 1990). "The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy". The American Journal of Gastroenterology. 85 (4): 448–51. PMID 2109527.
  4. SHEERS, R; CHAPMAN, S (1 October 1998). "The buried bumper syndrome: a complication of percutaneous endoscopic gastrostomy". Gut. 43 (4): 586. doi:10.1136/gut.43.4.586a. PMC 1727284. PMID 9882193.
  5. Cyrany, J; Rejchrt, S; Kopacova, M; Bures, J (14 January 2016). "Buried bumper syndrome: A complication of percutaneous endoscopic gastrostomy". World Journal of Gastroenterology. 22 (2): 618–27. doi:10.3748/wjg.v22.i2.618. PMC 4716063. PMID 26811611.
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.