The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management
Percutaneous endoscopic gastrostomy is a safe and easy method and carries a low mortality and complication rate. The buried bumper syndrome is a rare and late complication of percutaneous endoscopic gastrostomy tube placement. An 80-year-old man with bilateral basal ganglia bleeding was unable to sw...
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| Veröffentlicht in: | The Turkish journal of gastroenterology 2008-03, Vol.19 (1), p.45-48 |
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| creator | Erdil, Ahmet Genç, Halil Uygun, Ahmet Ilica, Ahmet Turan Dağalp, Kemal |
| description | Percutaneous endoscopic gastrostomy is a safe and easy method and carries a low mortality and complication rate. The buried bumper syndrome is a rare and late complication of percutaneous endoscopic gastrostomy tube placement. An 80-year-old man with bilateral basal ganglia bleeding was unable to swallow safely and required tube feeding. A Flexiflo Inverta percutaneous endoscopic gastrostomy tube was successfully inserted by pull technique. One year later, he was readmitted to our clinic because of nonfunctioning tube and peristomal cellulites. Endoscopy demonstrated dimpling of the gastric mucosa on the anterior wall of the stomach. Abdominal computed tomography revealed the bumper to be buried in the abdominal wall. The tube was removed by external traction, without any abdominal incision, and a different site was used for the insertion of a new percutaneous endoscopic gastrostomy tube. No further problems were encountered over the follow-up period of nine months. As a result, the Flexiflo Inverta percutaneous endoscopic gastrostomy tubes with externally removable internal bumpers were found useful in the treatment of buried bumper syndrome, and the buried bumper was easily removed by external traction without any endoscopic or surgical methods. |
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The buried bumper syndrome is a rare and late complication of percutaneous endoscopic gastrostomy tube placement. An 80-year-old man with bilateral basal ganglia bleeding was unable to swallow safely and required tube feeding. A Flexiflo Inverta percutaneous endoscopic gastrostomy tube was successfully inserted by pull technique. One year later, he was readmitted to our clinic because of nonfunctioning tube and peristomal cellulites. Endoscopy demonstrated dimpling of the gastric mucosa on the anterior wall of the stomach. Abdominal computed tomography revealed the bumper to be buried in the abdominal wall. The tube was removed by external traction, without any abdominal incision, and a different site was used for the insertion of a new percutaneous endoscopic gastrostomy tube. No further problems were encountered over the follow-up period of nine months. As a result, the Flexiflo Inverta percutaneous endoscopic gastrostomy tubes with externally removable internal bumpers were found useful in the treatment of buried bumper syndrome, and the buried bumper was easily removed by external traction without any endoscopic or surgical methods.</description><identifier>ISSN: 1300-4948</identifier><identifier>EISSN: 2148-5607</identifier><identifier>PMID: 18386240</identifier><language>eng</language><publisher>Turkey: Türk Gastroenteroloji Vakfı</publisher><subject>Aged, 80 and over ; Anti-Bacterial Agents ; Anti-Bacterial Agents - therapeutic use ; Anti-bakteriyel ajanlar ; Cefazolin ; Cefazolin - therapeutic use ; Cerrahi prosedürler, operatif ; Cerrahi stoma ; Cihaz çıkarımı ; Device Removal ; Device Removal - methods ; Donanım tasarımı ; Donanım ve gereçler ; Donanım yetersizliği ; Endoscopy ; Endoskopi ; Enteral beslenme ; Enteral Nutrition ; Enteral Nutrition - adverse effects ; Enteral Nutrition - instrumentation ; Entübasyon, gastrointestinal ; Equipment and supplies ; Equipment Design ; Equipment Failure ; Erkek ; Foreign-Body Migration ; Foreign-Body Migration - diagnosis ; Foreign-Body Migration - etiology ; Foreign-Body Migration - surgery ; Gastroenteroloji ve Hepatoloji ; Gastroentrology and Hepatology ; Gastrostomi ; Gastrostomy ; Gastrostomy - adverse effects ; Gastrostomy - instrumentation ; Gastrostomy - methods ; Humans ; Intubation, Gastrointestinal ; Intubation, Gastrointestinal - adverse effects ; Intubation, Gastrointestinal - instrumentation ; Male ; Sefazolin ; Sendrom ; Surgical procedures, operative ; Surgical Stomas ; Surgical Stomas - microbiology ; Surgical Stomas - pathology ; Syndrome ; Tomografi, x-ışınlı bilgisayarlı ; Tomography, X-Ray Computed ; Traction ; Traksiyon ; Wound Infection ; Wound Infection - drug therapy ; Wound Infection - etiology ; Yabancı cisim hareketi ; Yara enfeksiyonu ; Yaşlı, 80 ve üzeri</subject><ispartof>The Turkish journal of gastroenterology, 2008-03, Vol.19 (1), p.45-48</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,782,786,887</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18386240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Erdil, Ahmet</creatorcontrib><creatorcontrib>Genç, Halil</creatorcontrib><creatorcontrib>Uygun, Ahmet</creatorcontrib><creatorcontrib>Ilica, Ahmet Turan</creatorcontrib><creatorcontrib>Dağalp, Kemal</creatorcontrib><title>The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management</title><title>The Turkish journal of gastroenterology</title><addtitle>Turk J Gastroenterol</addtitle><description>Percutaneous endoscopic gastrostomy is a safe and easy method and carries a low mortality and complication rate. The buried bumper syndrome is a rare and late complication of percutaneous endoscopic gastrostomy tube placement. An 80-year-old man with bilateral basal ganglia bleeding was unable to swallow safely and required tube feeding. A Flexiflo Inverta percutaneous endoscopic gastrostomy tube was successfully inserted by pull technique. One year later, he was readmitted to our clinic because of nonfunctioning tube and peristomal cellulites. Endoscopy demonstrated dimpling of the gastric mucosa on the anterior wall of the stomach. Abdominal computed tomography revealed the bumper to be buried in the abdominal wall. The tube was removed by external traction, without any abdominal incision, and a different site was used for the insertion of a new percutaneous endoscopic gastrostomy tube. No further problems were encountered over the follow-up period of nine months. As a result, the Flexiflo Inverta percutaneous endoscopic gastrostomy tubes with externally removable internal bumpers were found useful in the treatment of buried bumper syndrome, and the buried bumper was easily removed by external traction without any endoscopic or surgical methods.</description><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Anti-bakteriyel ajanlar</subject><subject>Cefazolin</subject><subject>Cefazolin - therapeutic use</subject><subject>Cerrahi prosedürler, operatif</subject><subject>Cerrahi stoma</subject><subject>Cihaz çıkarımı</subject><subject>Device Removal</subject><subject>Device Removal - methods</subject><subject>Donanım tasarımı</subject><subject>Donanım ve gereçler</subject><subject>Donanım yetersizliği</subject><subject>Endoscopy</subject><subject>Endoskopi</subject><subject>Enteral beslenme</subject><subject>Enteral Nutrition</subject><subject>Enteral Nutrition - adverse effects</subject><subject>Enteral Nutrition - instrumentation</subject><subject>Entübasyon, gastrointestinal</subject><subject>Equipment and supplies</subject><subject>Equipment Design</subject><subject>Equipment Failure</subject><subject>Erkek</subject><subject>Foreign-Body Migration</subject><subject>Foreign-Body Migration - diagnosis</subject><subject>Foreign-Body Migration - etiology</subject><subject>Foreign-Body Migration - surgery</subject><subject>Gastroenteroloji ve Hepatoloji</subject><subject>Gastroentrology and Hepatology</subject><subject>Gastrostomi</subject><subject>Gastrostomy</subject><subject>Gastrostomy - adverse effects</subject><subject>Gastrostomy - instrumentation</subject><subject>Gastrostomy - methods</subject><subject>Humans</subject><subject>Intubation, Gastrointestinal</subject><subject>Intubation, Gastrointestinal - adverse effects</subject><subject>Intubation, Gastrointestinal - instrumentation</subject><subject>Male</subject><subject>Sefazolin</subject><subject>Sendrom</subject><subject>Surgical procedures, operative</subject><subject>Surgical Stomas</subject><subject>Surgical Stomas - microbiology</subject><subject>Surgical Stomas - pathology</subject><subject>Syndrome</subject><subject>Tomografi, x-ışınlı bilgisayarlı</subject><subject>Tomography, X-Ray Computed</subject><subject>Traction</subject><subject>Traksiyon</subject><subject>Wound Infection</subject><subject>Wound Infection - drug therapy</subject><subject>Wound Infection - etiology</subject><subject>Yabancı cisim hareketi</subject><subject>Yara enfeksiyonu</subject><subject>Yaşlı, 80 ve üzeri</subject><issn>1300-4948</issn><issn>2148-5607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9z91KwzAcBfAgipvTNxDJCxTyncY7GXMTBgrO65E0_2i16UrSCHt7C1OvzsXvcOCcoTmjoq6kIvoczSknpBJG1DN0lfMnIbymil2iGa15rZggc_S6-wDsSmrBTxEHSDgfe58OEe7xOFnJEErXQ874EHCCcap-2w6_rNZ4LA4ybnvcjhlH29t3iNCP1-gi2C7DzW8u0NvjarfcVNvn9dPyYVsN1Jix0sYKohuhQTdaWm44VcYppjgR0gVCSfDSe99Qyxl1jVKOOOmaUBNphdd8gW5Pu6WzX66N-yG10abj3ihG6cR3Jx6Ki-D_9e88_wFPwFZm</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Erdil, Ahmet</creator><creator>Genç, Halil</creator><creator>Uygun, Ahmet</creator><creator>Ilica, Ahmet Turan</creator><creator>Dağalp, Kemal</creator><general>Türk Gastroenteroloji Vakfı</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>GIY</scope><scope>GIZ</scope><scope>GJA</scope><scope>GJB</scope></search><sort><creationdate>20080301</creationdate><title>The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management</title><author>Erdil, Ahmet ; Genç, Halil ; Uygun, Ahmet ; Ilica, Ahmet Turan ; Dağalp, Kemal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p199t-79a407c47e7c75a393169b6263045bf010fd5dddc1a321bc66b0b5bcf805a4d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Anti-bakteriyel ajanlar</topic><topic>Cefazolin</topic><topic>Cefazolin - therapeutic use</topic><topic>Cerrahi prosedürler, operatif</topic><topic>Cerrahi stoma</topic><topic>Cihaz çıkarımı</topic><topic>Device Removal</topic><topic>Device Removal - methods</topic><topic>Donanım tasarımı</topic><topic>Donanım ve gereçler</topic><topic>Donanım yetersizliği</topic><topic>Endoscopy</topic><topic>Endoskopi</topic><topic>Enteral beslenme</topic><topic>Enteral Nutrition</topic><topic>Enteral Nutrition - adverse effects</topic><topic>Enteral Nutrition - instrumentation</topic><topic>Entübasyon, gastrointestinal</topic><topic>Equipment and supplies</topic><topic>Equipment Design</topic><topic>Equipment Failure</topic><topic>Erkek</topic><topic>Foreign-Body Migration</topic><topic>Foreign-Body Migration - diagnosis</topic><topic>Foreign-Body Migration - etiology</topic><topic>Foreign-Body Migration - surgery</topic><topic>Gastroenteroloji ve Hepatoloji</topic><topic>Gastroentrology and Hepatology</topic><topic>Gastrostomi</topic><topic>Gastrostomy</topic><topic>Gastrostomy - adverse effects</topic><topic>Gastrostomy - instrumentation</topic><topic>Gastrostomy - methods</topic><topic>Humans</topic><topic>Intubation, Gastrointestinal</topic><topic>Intubation, Gastrointestinal - adverse effects</topic><topic>Intubation, Gastrointestinal - instrumentation</topic><topic>Male</topic><topic>Sefazolin</topic><topic>Sendrom</topic><topic>Surgical procedures, operative</topic><topic>Surgical Stomas</topic><topic>Surgical Stomas - microbiology</topic><topic>Surgical Stomas - pathology</topic><topic>Syndrome</topic><topic>Tomografi, x-ışınlı bilgisayarlı</topic><topic>Tomography, X-Ray Computed</topic><topic>Traction</topic><topic>Traksiyon</topic><topic>Wound Infection</topic><topic>Wound Infection - drug therapy</topic><topic>Wound Infection - etiology</topic><topic>Yabancı cisim hareketi</topic><topic>Yara enfeksiyonu</topic><topic>Yaşlı, 80 ve üzeri</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erdil, Ahmet</creatorcontrib><creatorcontrib>Genç, Halil</creatorcontrib><creatorcontrib>Uygun, Ahmet</creatorcontrib><creatorcontrib>Ilica, Ahmet Turan</creatorcontrib><creatorcontrib>Dağalp, Kemal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ULAKBIM - Mühendislik ve Temel Bilimler Veri Tabani</collection><collection>ULAKBIM - Yaşam Bilimleri Veri Tabani</collection><collection>ULAKBIM - Turk Sosyal Bilimler Veri Tabani</collection><collection>ULAKBIM - Türk Tıp Veri Tabani</collection><jtitle>The Turkish journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Erdil, Ahmet</au><au>Genç, Halil</au><au>Uygun, Ahmet</au><au>Ilica, Ahmet Turan</au><au>Dağalp, Kemal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management</atitle><jtitle>The Turkish journal of gastroenterology</jtitle><addtitle>Turk J Gastroenterol</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>19</volume><issue>1</issue><spage>45</spage><epage>48</epage><pages>45-48</pages><issn>1300-4948</issn><eissn>2148-5607</eissn><abstract>Percutaneous endoscopic gastrostomy is a safe and easy method and carries a low mortality and complication rate. The buried bumper syndrome is a rare and late complication of percutaneous endoscopic gastrostomy tube placement. An 80-year-old man with bilateral basal ganglia bleeding was unable to swallow safely and required tube feeding. A Flexiflo Inverta percutaneous endoscopic gastrostomy tube was successfully inserted by pull technique. One year later, he was readmitted to our clinic because of nonfunctioning tube and peristomal cellulites. Endoscopy demonstrated dimpling of the gastric mucosa on the anterior wall of the stomach. Abdominal computed tomography revealed the bumper to be buried in the abdominal wall. The tube was removed by external traction, without any abdominal incision, and a different site was used for the insertion of a new percutaneous endoscopic gastrostomy tube. No further problems were encountered over the follow-up period of nine months. As a result, the Flexiflo Inverta percutaneous endoscopic gastrostomy tubes with externally removable internal bumpers were found useful in the treatment of buried bumper syndrome, and the buried bumper was easily removed by external traction without any endoscopic or surgical methods.</abstract><cop>Turkey</cop><pub>Türk Gastroenteroloji Vakfı</pub><pmid>18386240</pmid><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | The Turkish journal of gastroenterology, 2008-03, Vol.19 (1), p.45-48 |
| issn | 1300-4948 2148-5607 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged, 80 and over Anti-Bacterial Agents Anti-Bacterial Agents - therapeutic use Anti-bakteriyel ajanlar Cefazolin Cefazolin - therapeutic use Cerrahi prosedürler, operatif Cerrahi stoma Cihaz çıkarımı Device Removal Device Removal - methods Donanım tasarımı Donanım ve gereçler Donanım yetersizliği Endoscopy Endoskopi Enteral beslenme Enteral Nutrition Enteral Nutrition - adverse effects Enteral Nutrition - instrumentation Entübasyon, gastrointestinal Equipment and supplies Equipment Design Equipment Failure Erkek Foreign-Body Migration Foreign-Body Migration - diagnosis Foreign-Body Migration - etiology Foreign-Body Migration - surgery Gastroenteroloji ve Hepatoloji Gastroentrology and Hepatology Gastrostomi Gastrostomy Gastrostomy - adverse effects Gastrostomy - instrumentation Gastrostomy - methods Humans Intubation, Gastrointestinal Intubation, Gastrointestinal - adverse effects Intubation, Gastrointestinal - instrumentation Male Sefazolin Sendrom Surgical procedures, operative Surgical Stomas Surgical Stomas - microbiology Surgical Stomas - pathology Syndrome Tomografi, x-ışınlı bilgisayarlı Tomography, X-Ray Computed Traction Traksiyon Wound Infection Wound Infection - drug therapy Wound Infection - etiology Yabancı cisim hareketi Yara enfeksiyonu Yaşlı, 80 ve üzeri |
| title | The buried bumper syndrome: the usefulness of retrieval PEG tubes in its management |
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