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Short article: Buried bumper syndrome in children: incidence and risk factors

Claire E Stewart1, Mohamed Mutalib, Akhilesh Pradhan

  • 1Departments of aPaediatric Surgery bPaediatric Gastroenterology, Evelina London Children' Hospital, London, UK.

European Journal of Gastroenterology & Hepatology
|September 27, 2016
PubMed

Insights

Buried bumper syndrome (BBS) in children is often linked to jejunal extension with percutaneous endoscopic gastrostomy (PEG-J) tubes and multiple previous gastrostomy insertions. Careful monitoring and patient education can help prevent this complication.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Complications

Background:

  • Buried bumper syndrome (BBS) is a serious complication in pediatric patients requiring gastrostomy tubes.
  • Surgical correction for BBS can be high-risk due to comorbidities in affected children.

Purpose of the Study:

  • To determine the incidence of BBS in pediatric patients.
  • To identify significant risk factors associated with BBS development.

Main Methods:

  • Retrospective review of 535 pediatric patients' records from 2006-2015.
  • Analysis included gastrostomy tube type, operative interventions, and comorbidities.
  • Statistical analysis utilized the two-tailed Fisher's exact test.

Main Results:

  • The overall incidence of BBS was 5.4% (31 episodes in 29 patients).
  • Significant comorbidities were prevalent, with 27/29 patients having two or more.
  • Risk factors identified included jejunal extension with percutaneous endoscopic gastrostomy (PEG-J) tubes and multiple previous gastrostomy insertions.

Conclusions:

  • PEG-J tubes and a history of two or more gastrostomy insertions are significant risk factors for BBS.
  • Enhanced documentation and ongoing carer education are crucial for reducing BBS incidence.
  • Early identification and management of BBS can prevent severe outcomes.
Abstract

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