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Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases

Buried bumper syndrome (BBS) was described as a complication of percutaneous endoscopic gastrostomy (PEG) that occurs when the internal stump of the probe migrates and is located between the gastric wall and the skin. The increase of compression between the internal stump and the external stump of t...

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Autores principales: Devia, Johan, Santivañez, Juan Jose, Rodríguez, Mario, Rojas, Sandra, Cadena, Manuel, Vergara, Arturo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706275/
https://www.ncbi.nlm.nih.gov/pubmed/31448333
http://dx.doi.org/10.1055/s-0039-1692148
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author Devia, Johan
Santivañez, Juan Jose
Rodríguez, Mario
Rojas, Sandra
Cadena, Manuel
Vergara, Arturo
author_facet Devia, Johan
Santivañez, Juan Jose
Rodríguez, Mario
Rojas, Sandra
Cadena, Manuel
Vergara, Arturo
author_sort Devia, Johan
collection PubMed
description Buried bumper syndrome (BBS) was described as a complication of percutaneous endoscopic gastrostomy (PEG) that occurs when the internal stump of the probe migrates and is located between the gastric wall and the skin. The increase of compression between the internal stump and the external stump of the gastrostomy tube causes pain and the inability to feed. We present the cases of three patients with BBS managed by the metabolic and nutritional support department. These cases intend to illustrate one of the less frequent complications of PEG, clinical presentation, risk factors, diagnosis, and especially clinical management. Although there are no defined gold standards for its management, the most important points in the management of this condition are early recognition, recommendations to avoid ischemic process at the moment of the insertion of the tube, specific care of the gastrostomy tube, and a periodic nutrition evaluation to avoid overweight, which causes traction and excessive pressure in the gastric wall. It is important for physicians to be aware of the recommendations to prevent BBS and its complications, especially in patients in whom communication can be difficult secondary to their pathologies and comorbidities.
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spelling pubmed-67062752019-08-23 Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases Devia, Johan Santivañez, Juan Jose Rodríguez, Mario Rojas, Sandra Cadena, Manuel Vergara, Arturo Surg J (N Y) Buried bumper syndrome (BBS) was described as a complication of percutaneous endoscopic gastrostomy (PEG) that occurs when the internal stump of the probe migrates and is located between the gastric wall and the skin. The increase of compression between the internal stump and the external stump of the gastrostomy tube causes pain and the inability to feed. We present the cases of three patients with BBS managed by the metabolic and nutritional support department. These cases intend to illustrate one of the less frequent complications of PEG, clinical presentation, risk factors, diagnosis, and especially clinical management. Although there are no defined gold standards for its management, the most important points in the management of this condition are early recognition, recommendations to avoid ischemic process at the moment of the insertion of the tube, specific care of the gastrostomy tube, and a periodic nutrition evaluation to avoid overweight, which causes traction and excessive pressure in the gastric wall. It is important for physicians to be aware of the recommendations to prevent BBS and its complications, especially in patients in whom communication can be difficult secondary to their pathologies and comorbidities. Thieme Medical Publishers 2019-08-22 /pmc/articles/PMC6706275/ /pubmed/31448333 http://dx.doi.org/10.1055/s-0039-1692148 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Devia, Johan
Santivañez, Juan Jose
Rodríguez, Mario
Rojas, Sandra
Cadena, Manuel
Vergara, Arturo
Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases
title Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases
title_full Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases
title_fullStr Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases
title_full_unstemmed Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases
title_short Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases
title_sort early recognition and diagnosis of buried bumper syndrome: a report of three cases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706275/
https://www.ncbi.nlm.nih.gov/pubmed/31448333
http://dx.doi.org/10.1055/s-0039-1692148
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