Early Buried Bumper Syndrome After Percutaneous Endoscopic Gastrostomy Tube Insertion

Authors

  • Phahol Sarojvisut Division of Nutrition and Biochemical Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Daruneewan Warodomwichit Division of Nutrition and Biochemical Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Taya Kitiyakara Division of Gastroenterology and Hepatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Keywords:

early buried bumper syndrome, percutaneous endoscopic gastrostomy tube insertion, complication

Abstract

Buried bumper syndrome is a rare but serious complication that can occur after percutaneous endoscopic gastrostomy (PEG) tube insertion. It is caused by the inward migration of the internal bumper of the PEG tube into the gastric wall. Buried bumper syndrome usually occurs from months to years after PEG tube insertion. We report a case of 54 years old female with non-keratinizing squamous cell carcinoma of the left nasal cavity with prophylaxis PEG before radiation. She was then admitted with progressive PEG wound pain with pus-like discharge 5 days after PEG tube insertion. An early buried bumper was diagnosed. The diagnosis of buried bumper syndrome is typically based on clinical symptoms, imaging studies, and/or endoscopy. Treatment involves endoscopic retrieval of the bumper, replacement of the tube or open laparotomy for severe cases. Preventive measurements, early recognition and correct management of buried bumper syndrome are crucial to prevent serious complications and improve patient outcomes.
Healthcare professionals should be aware of the potential risks and complications associated with PEG
tube insertion and maintain a high index of suspicion for buried bumper syndrome in patients with clinical
symptoms.

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Published

2024-12-27

How to Cite

Sarojvisut, P., Warodomwichit, . D., & Kitiyakara, T. . (2024). Early Buried Bumper Syndrome After Percutaneous Endoscopic Gastrostomy Tube Insertion. Thai JPEN วารสารโภชนบำบัด, 32(2), 53–62. retrieved from https://he02.tci-thaijo.org/index.php/ThaiJPEN/article/view/264512

Issue

Vol. 32 No. 2 (2567): กรกฏาคม-ธันวาคม 2567

Section

Interesting case

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