Related Experiment Video
Updated: Jul 14, 2026
04:35
Using the Endoscope for Endobronchial Ultrasound in the Esophagus
Published on: November 21, 2023
Radial endoscopic ultrasonography and buried bumper endoscopic solution
Jose Luis Ulla1, Victoria Alvarez, Estela Fernandez-Salgado
1Digestive Disease Service, Pontevedra Hospital Complex, C/Mourente s/n, Pontevedra, Spain. ullarojl@terra.es
Summary
Buried bumper syndrome, a complication of percutaneous endoscopic gastrostomy, can be treated endoscopically. This method uses argon beam destruction and a Savary dilator for effective management.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Percutaneous endoscopic gastrostomy (PEG) is essential for long-term enteral nutrition.
- Buried bumper syndrome (BBS) is a significant complication of PEG, involving the internal bumper migrating into the gastric wall.
- BBS can lead to feeding difficulties, site infections, and sepsis.
Observation:
- Clinical signs of BBS include increased resistance during feeding and catheter cleaning.
- Endoscopic ultrasonography (EUS) aids in visualizing the extent of gastric wall involvement.
- The internal bumper ulcerates the gastric mucosa and becomes embedded within the gastric wall.
Findings:
- An innovative endoscopic technique is presented for BBS management.
- This approach involves argon beam coagulation for localized gastric tissue destruction.
- Introduction of a Savary dilator through the gastroscope facilitates the procedure.
Implications:
- This endoscopic solution offers a minimally invasive treatment option for BBS.
- Successful management can alleviate feeding complications and prevent further infection.
- EUS-guided endoscopic intervention may improve outcomes for PEG patients experiencing BBS.
Related Concept Videos
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
01:28Endoscopic Procedures III: Video Capsule Endoscopy
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...