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Buried bumper syndrome occurs when the internal bumper of a gastrostomy tube erodes into the wall of the stomach. The internal bumper may become entirely buried within the fistulous tract. The main causative factor is excessive tightening of the external bumper, leading to increased pressure of the internal bumper on the wall of the stomach.
Jan 13, 2024 · Buried bumper syndrome is a rare but important complication in patients with a percutaneous gastrostomy (PEG) tube, occurring by migration of the internal bumper along its track.
Jan 1, 2016 · Buried bumper syndrome (BBS) represents a less common but major complication of PEG. The internal fixation device of the cannula (bumper) migrates alongside the stoma tract out of the stomach. The disc can end up anywhere between the stomach mucosa and the surface of the skin.
Mar 27, 2019 · “Buried bumper syndrome” (BBS) is a rare but potentially fatal complication resulting in malfunction of the tube, gastric perforation, bleeding, and peritonitis. Gastroenterologists should be cognizant of the clinical presentation and treatment of a buried bumper.
Feb 5, 2020 · Buried bumper syndrome is a rare (1.5%) but severe adverse event of G-tubes. 7 Tension on the tube can cause the internal bumper to erode into the tract. Buried bumper syndrome presents as pain, swelling, resistance to infusion, induration around the stoma, and the inability to rotate and/or push the tube into the stomach.
WHAT IS BURIED BUMPER SYNDROME? Buried Bumper Syndrome is uncommon, but if left untreated further complications can result in serious outcomes, including gastrointestinal bleeding, perforation, abscess and peritonitis. It occurs when the internal bumper of the gastrostomy tube migrates through the gastric wall.
Feb 2, 2023 · Buried bumper syndrome (BBS) is a rare but serious complication of percutaneous endoscopic gastrostomy (PEG) with one reported incidence of 0.3%-2.4% per PEG-patient per year[1-5], elsewhere raised from 2.0% to 6.7% of PEG placements[6,7].
