Buried bumper syndrome

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Buried Bumper Syndrome

Buried bumper syndrome (pronunciation: /ˈberid ˈbʌmpər sɪnˌdroʊm/) is a rare but serious complication that can occur with percutaneous endoscopic gastrostomy (PEG) tubes.

Etymology

The term "buried bumper syndrome" was first coined in 1988 by Klein et al. The term refers to the internal bumper of a PEG tube becoming buried or embedded in the gastric wall or abdominal wall.

Definition

Buried bumper syndrome is a complication of PEG tube placement where the internal bumper migrates from its original position in the stomach and becomes lodged in the gastric or abdominal wall. This can lead to a variety of complications including infection, bleeding, and perforation of the stomach or abdominal wall.

Symptoms

Symptoms of buried bumper syndrome can vary depending on the severity of the condition. Common symptoms include difficulty or inability to rotate or advance the PEG tube, pain at the PEG site, increased leakage around the tube, and signs of infection such as redness, swelling, and pus.

Diagnosis

Diagnosis of buried bumper syndrome is typically made through a combination of physical examination and imaging studies. Endoscopy is often used to visualize the PEG tube and confirm the diagnosis.

Treatment

Treatment of buried bumper syndrome typically involves removal of the PEG tube. In some cases, a new PEG tube may be placed. Treatment should be individualized based on the patient's overall health and the severity of the condition.

Related Terms

External links

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