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Buried bumper--the endoscopic approach
Peter Born1, Jürgen Winker1, Andreas Jung1
1Red Cross Hospital, Munich, Germany.
Summary
Buried bumper syndrome, a complication of percutaneous endoscopic gastrostomy (PEG) feeding tubes, can be effectively managed. A novel endoscopic technique using a papillotome rapidly resolved this issue in a recent case.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Buried bumper syndrome is a significant long-term complication associated with percutaneous endoscopic gastrostomy (PEG) devices.
- It involves the internal bumper of the PEG tube ingrowing into the gastric wall, potentially causing issues with enteral nutrition delivery.
Observation:
- The case report details a patient experiencing buried bumper syndrome.
- Various endoscopic management strategies exist for this complication.
Findings:
- A specific endoscopic approach, utilizing a papillotome guided by a wire, was successfully employed.
- This method, described by Müller-Gerbes et al., provided a rapid resolution of the buried bumper syndrome.
Implications:
- This technique offers a potentially effective and swift endoscopic solution for managing buried bumper syndrome.
- It may represent a valuable addition to the armamentarium for treating PEG-related complications.
