Please use this identifier to cite or link to this item: https://ninho.inca.gov.br/jspui/handle/123456789/2024
Title: Buried bumper syndrome as a complication of percutaneous endoscopic gastrostomy in cancer patients
Other Titles: the Brazilian experience
Authors: Meine, Gilmara Coelho
Lukashok, Hannah Pitanga
Mello, Gustavo Francisco de Souza e
Mansur, Gilberto Reynaldo
Guimarães, Denise Peixoto
Keywords: Patients
Gastrostomy
Gastrostomia
Issue Date: 2007
Publisher: Wiley [Commercial Publisher] Japan Gastroenterological Endoscopy Society [Associate Organisation]
Citation: MEINE, Gilmara; LUKASHOK, Hannah; SOUZA E MELLO, Gustavo Francisco de; MANSUR, Gilberto; GUIMARÃES, Denise. Buried bumper syndrome as a complication of percutaneous endoscopic gastrostomy in cancer patients: the Brazilian experience. Digestive Endoscopy. [s. l.], v. 19, n. 1, p. 22-25, 2007.
Abstract: Background: Buried bumper syndrome (BBS) is a major complication of percutaneous endoscopic gastrostomy (PEG) in which the internal bumper migrates from the gastric lumen into the gastrostomy tract. The aim of the present study was to describe the frequency and characteristics of BBS in cancer patients. Methods: Retrospective chart review of cancer patients submitted to PEG placement. Results: Thirteen cases of BBS were diagnosed among 213 PEG procedures, with an incidence of 6.1%. The interval between PEG and BBS varied from 7 to 630 days (mean 217.5 days). All patients were treated on an outpatient basis. There were six partial, four subtotal and three total BBS. Three partial and four subtotal BBS were treated by external traction and replacement with a balloon-tipped tube. In three cases of partial BBS the PEG tube was not removed, just repositioned. In three cases of total BBS it was necessary to redo the PEG procedure. Conclusion: BBS is an uncommon and usually late complication of PEG. Most of our cases were detected early, due to instructions provided to patients and caregivers and regular follow up. Early diagnosis permits simple treatment consisting of replacement of the original PEG tube by a balloon-tube or repositioning the original system.
URI: http://sr-vmlxaph03:8080/jspui/handle/123456789/2024
ISSN: 0915-5635
Appears in Collections:Gustavo Francisco de Souza e Mello

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