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Buried bumper syndrome presenting with bleeding.
Khaled Bamakhrama1, Tahani Ahmed Aldaham2, Omar Alassaf2
1Gastroenterology department, Dubai health authority, Dubai, UAE.
BMJ Case Reports
|December 21, 2018
Summary
Buried bumper syndrome (BBS), a rare complication of percutaneous endoscopic gastrostomy (PEG) feeding, can cause severe bleeding. Prompt diagnosis and treatment, including PEG tube replacement, are crucial for patient outcomes.
Area of Science:
- Gastroenterology
- Endoscopy
- Surgical Complications
Background:
- Percutaneous endoscopic gastrostomy (PEG) tubes are widely used for enteral feeding.
- Buried bumper syndrome (BBS) is an uncommon but serious complication associated with PEG tube placement.
- BBS can lead to significant morbidity if not promptly identified and managed.
Observation:
- A case report details a 74-year-old male presenting with gastrointestinal bleeding originating from the PEG tube site.
- Endoscopic examination confirmed the bleeding was due to Buried Bumper Syndrome.
- The patient's symptoms included bleeding from the PEG tube site, a key indicator of BBS.
Findings:
- The diagnosis of Buried Bumper Syndrome was confirmed via endoscopy.
- Treatment involved replacing the PEG tube and a 10-day course of antibiotics.
- The report outlines key clinical signs, symptoms, and physical examination findings suggestive of BBS.
Implications:
- Early recognition of BBS is critical due to its potential for severe and even fatal complications.
- Physicians should consider BBS in their differential diagnosis for patients with PEG tubes presenting with relevant symptoms.
- Timely intervention, including surgical or endoscopic management, is essential for favorable patient outcomes.
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