Obed, Aimann and Hornung, Matthias and Schlottmann, Klaus and Schlitt, Hans-Juergen and Bolder, Ulrich (2006) Unnecessary delay of diagnosis of buried bumper syndrome resulting in surgery. EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 18 (7). pp. 789-792. ISSN 0954-691X,
Full text not available from this repository. (Request a copy)Abstract
Percutaneous endoscopic catheter gastrostomy (PEG) is a convenient way to supply enteral nutrition for patients with swallowing disorders. One rare complication of PEG is the buried bumper syndrome where gastric mucosa overgrows the internal bumper and prevents free flow of the feeding solution. As a consequence, the application of enteral feeding has to be stopped until a free outflow is re-established. We report a case of buried bumper where symptoms were misinterpreted for several months as PEG stoma infection by the homecare service. This led to a vastly delayed diagnosis and treatment. As endoscopic intervention was unsuccessful, surgical PEG removal was required. In consequence, we recommend early endoscopic exploration in cases with prolonged inflammatory signs at the PEG stoma site in order to avoid misdiagnosis of buried bumper syndrome and to allow timely endoscopic intervention.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; PLACEMENT; INJURY; SAFETY; PEG; buried bumper syndrome; percutaneous endoscopic gastrostomy; stoma infection |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Feb 2021 11:17 |
| Last Modified: | 10 Feb 2021 11:17 |
| URI: | https://pred.uni-regensburg.de/id/eprint/34340 |
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