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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Acute buried bumper syndrome.

Qasim Khalil1, Rizwan Kibria, Salma Akram

  • 1Department of Internal Medicine, Wright State University, School of Medicine, Dayton, OH 45428, USA.

Southern Medical Journal
|November 2, 2010
PubMed
Summary
This summary is machine-generated.

Buried bumper syndrome (BBS), a rare complication of percutaneous endoscopic gastrostomy (PEG) tubes, occurs when the internal bumper erodes through the stomach wall. This case highlights a rapid BBS development, prompting a review of contributing factors and treatments.

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Surgical Complications

Background:

  • Percutaneous endoscopic gastrostomy (PEG) tubes are widely used for enteral feeding.
  • Buried bumper syndrome (BBS) is an uncommon but serious complication of PEG placement.
  • BBS typically manifests as a late complication, occurring months to years post-insertion.

Observation:

  • This report details an unusual case of BBS with exceptionally rapid development.
  • The internal bumper of the PEG tube eroded and migrated through the gastric wall.
  • The migrated bumper was found lodged between the gastric wall and the skin.

Findings:

  • The rapid progression of BBS in this case deviates from the typical timeline.
  • Factors contributing to accelerated BBS development require further investigation.
  • Timely diagnosis and appropriate management are crucial to prevent severe outcomes.

Implications:

  • Understanding the risk factors for rapid BBS is essential for early detection.
  • This case underscores the need for vigilance in patients with PEG tubes.
  • Prompt intervention can mitigate life-threatening complications associated with BBS.