Abstract Text A 78-year-old female patient with advanced dementia and a gastrostomy tube due to
a prior stroke. During a gastroscopy for gastrostomy tube replacement, the internal
bumper was not visible, suggested the tube was buried in the gastric wall. In a second
procedure, a therapeutic gastroscopy was performed. A 0.35 mm guidewire was passed
externally through the tube into the gastric lumen. Inflammatory tissue around the
guidewire was dissected using a Needle Knife and IT Knife, exposing the internal bumper,
which was removed orally with forceps. The defect was closed with an endoscopic suture,
achieving full gastric distension. The patient was discharged 48h later without complications
[1]
[2]
[3].
Video
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