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Buried bumper--the endoscopic approach
Peter Born1, Jürgen Winker1, Andreas Jung1
1Red Cross Hospital, Munich, Germany.
Abstract:
Buried bumper syndrome--ingrowth of the internal bumper of a percutaneous endoscopic gastrostomy (PEG) into the gastric wall--is one of the serious long-term complications of enteral nutrition using PEG systems. There are various endoscopic methods of managing the problem. We report here on a case successfully and rapidly treated with the method described by Müller-Gerbes et al., using a papillotome introduced over a guide wire.

