The buried gastrostomy bumper syndrome

Z. Fireman, N. Yunis, D. Coscas, D. Zamir, Y. Wagner, A. Sternberg

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The buried gastrostomy bumper syndrome is one of the rare complications of PEG (percutaneous endoscopic gastrostomy) insertion. It develops when there is a combination of a rigid bumper and a tension build-up between internal and external bumpers. This condition is manifested by complete occlusion of the internal opening of the gastrostomy by mucosa, making it impossible to feed the patient. We report a case in which the PEG was inserted a year prior to the appearance of this rare complication. It was embedded beneath the gastric mucosa and we had difficulty in removing it to insert a new PEG. The bumpers are anchor-like attachments to each end of the gastrostomy, which keep it stationary. The rigid bumper is an integral part of the gastrostomy. However, a "soft" bumper has been developed, but its costliness has restricted its use. In our case the gastrostomy was removed with the aid of the cutting wire of a sphincterotome in light contact with the external tissue.

Original languageEnglish
Pages (from-to)92-93, 143
JournalHarefuah
Volume131
Issue number3-4
StatePublished - 1 Jan 1996
Externally publishedYes

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