Acute Buried Bumper Syndrome

Qasim Khalil, MD; Rizwan Kibria, MD; Salma Akram, MD, FACG

Disclosures

South Med J. 2010;103(12):1256-1258. 

In This Article

Abstract and Introduction

Abstract

Buried bumper syndrome (BBS) is an uncommon complication of percutaneous endoscopic gastrostomy (PEG) tube placement. This unusual phenomenon occurs when the internal bumper of a PEG tube erodes and migrates through the gastric wall and becomes lodged anywhere between the gastric wall and the skin. If not removed and treated appropriately, it can lead to life-threatening complications. It is considered to be a late complication, with most cases occurring from months to years later. We present an unusual case of a very rapid development of BBS, along with a brief review of contributing factors and treatment recommendations.

Introduction

Buried bumper syndrome (BBS) is an uncommon complication of percutaneous endoscopic gastrostomy (PEG) tube placement. This unusual phenomenon occurs when the internal bumper of a PEG tube becomes lodged anywhere between the gastric wall and the skin. If not removed and treated appropriately, it can lead to life-threatening complications. BBS is considered to be a late complication, with most cases occurring from months to years after PEG tube placement. We present an unusual case of a very rapid development of BBS, along with a brief review of contributing factors and treatment recommendations.

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