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Gastrostomy Intraperitoneal Bumper Migration in a Three-Year-Old Child: A Rare Complication following Gastrostomy
Riccardo Guanà1, Luca Lonati1, Claudio Barletti2
1Division of Pediatric General Surgery, Regina Margherita Children's Hospital, Turin, Italy.
Insights
Gastrostomy tube replacement is common for long-term enteral nutrition. A rare complication, intraperitoneal bumper migration, can occur during this procedure, even in children.
Area of Science:
- Pediatric Gastroenterology
- Surgical Complications
Background:
- Feeding gastrostomy provides long-term enteral nutrition for individuals with feeding impairments.
- Percutaneous endoscopic gastrostomy (PEG) is the preferred method, but requires tube replacement with a low-profile button after initial months.
- While PEG tube replacement is generally straightforward, complications can arise.
Abstract:
Feeding gastrostomy is used worldwide for adults and children with feeding impairment to obtain long-term enteral nutrition. Percutaneous endoscopic gastrostomy insertion is considered the gold standard, but after the first months requires gastrostomy tube replacement with a low-profile button. The replacement is known as an easy procedure, but several minor and major complications may occur during and after the manoeuvre. We describe intraperitoneal bumper migration in a 3-year-old boy, a rare complication following gastrostomy tube replacement, and we discuss the recent literature regarding similar cases.
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