జీర్ణకోశ & జీర్ణ వ్యవస్థ

నైరూప్య

Percutaneous Endoscopic Gastrostomy and Buried Bumper Syndrome

Elias Makhoul, Ralph Kamel, Naim Hanna, Anthony Zaarour

Percutaneous Endoscopic Gastrostomy (PEG) is a method of placing percutaneously a tube into the stomach by endoscopy. This technique is a relatively safe and effective method indicated in the treatment of neurologic diseases with irreversible swallowing problem or proximal esophageal pathology. Complications can occur including pain at the site, leakage of stomach contents and malfunction of the tube. Possible complications include infections of the PEG site, aspiration, bleeding and perforation. In this article we would like to bring to attention a rare complication of PEG, the Buried Bumper Syndrome (BBS) that presented in an 86-year-old female with gradual migration of the internal bumper alongside the stoma tract outside the stomach.