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Endoscopic Procedures V: ERCP

Endoscopic 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.
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Related Experiment Video

Updated: Apr 26, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection

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Buried bumper--the endoscopic approach.

Peter Born¹, Jürgen Winker¹, Andreas Jung¹

¹Red Cross Hospital, Munich, Germany.

Arab Journal of Gastroenterology : the Official Publication of the Pan-Arab Association of Gastroenterology

|August 7, 2014

Summary

This summary is machine-generated.

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.

Keywords:

Buried bumper Complications Endoscopic treatment PEG

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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.