“Buried Bumper Syndrome”: A different treatment with Needle Knife and closure with endoscopic suture​ ​

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  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/d50632e9-c45b-4d10-ae95-e28dba1ae9fe/Uploads/16849_PEG_v2.mp4

 

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Conflicts of Interest

Authors do not have any conflict of interest to disclose.

• References

• 1 Casas Deza D, Monzón Baez RM, Lamuela Calvo LJ, Betoré Glaria E, Montil Miguel E, Julián Gomara B, Vicente Lidón R.. «Complications and Survival Following Percutaneous Endoscopic Gastrostomy Tube Placement.» Revista Española de Enfermedades Digestivas. 2024; doi:10.17235/reed.2024.10335/2024.
• 2 Rodríguez-Sánchez J, Domper Bardají F, López Viedma B, Lorente Poyatos R, de la Santa Belda E.. «Una alternativa para la resolución endoscópica del síndrome de buried bumper: Pull-T technique». Gastroenterología y Hepatología 2012; 35 (n.o 4): 296-98
• 3 Rieder B, Pfeiffer A.. «Treatment of the Buried Bumper Syndrome Using a Savary Dilator». Endoscopy 2008; 40 (n.o S 02): E115-E115

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025