The Challenging Acute Buried Bumper Syndrome: A Case Report

• Main Authors: Juliana Pinho, Diogo Libânio, Pedro Pimentel-Nunes, Mário Dinis-Ribeiro
• Format: Article
• Language: English
• Published: Karger Publishers 2017-12-01
• Series: GE: Portuguese Journal of Gastroenterology
• Subjects: Buried bumper syndrome; Percutaneous endoscopic gastrostomy; Complication
• Online Access: https://www.karger.com/Article/FullText/485104

Percutaneous endoscopic gastrostomy (PEG) is the preferred route of feeding and nutritional support in patients requiring long-term enteral nutrition. Major complications related to the procedure are rare. Buried bumper syndrome is a late major complication, occurring in 0.3-2.4% of patients. Although considered a late complication, it can rarely occur in an acute setting early after the procedure. We present the case of an early buried bumper syndrome, presenting 1 week after PEG tube placement, with local stoma infection associated with an infected cavity within the abdominal wall with feeding content, successfully managed with antibiotic therapy and PEG tube repositioning through the original track.