ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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A Rare Complication Of Percutaneous Endoscopic Gastrostomy: Burried Bumper Syndrome: A Case Report
Dr. Hüseyin Ayhan KAYAOĞLU,a Dr. Namık ÖZKAN,a Dr. Ömer Faik ERSOY,a Dr. Alper ÇELİKa
aGenel Cerrahi ABD, Gaziosmanpaşa Üniversitesi Tıp Fakültesi, TOKAT
Percutaneous endoscopic gastrostomy (PEG) is an enteral nutrition method that is used in patients who have an intact gastrointestinal tract but are unable to feed orally. The intervention has frequent complications like hemorrhage, peritonitis, peristomal wound infection, aspiration, and gastrocolonic fistulas as well as an unusual complication, Burried Bumper Syndrome-, which occurs due to the migration of the inner ring of the catheter in almost 1.5% of the patients. The inner ring may be located anywhere along the gastrostomy tract between the dermis and the gastric wall. Patients may present with difficulty applying nutrients through the PEG catheter, peristomal leakage, swelling and infection, pain located at the abdominal wall, and peritonitis. Physical examination and the absence of the catheter during control endoscopy are generally adequate for the diagnosis.
This paper presents a case of Burried Bumper Syndrome that developed after the exchange of a nonfunctioning old catheter, in a 74 years old male patient who lost the swallowing reflex due to a previous cerebrovascular event. Control endoscopy performed for stoma infection revealed absence of the internal ring in the stomach lumen, which had migrated to and located beneath the gastric mucosa; dysfunction of the catheter developed after the exchange. Further, the PEG catheter was removed by external traction and after control for infection, a new catheter was introduced through another location.
Various techniques were suggested for the removal of the catheter. While external traction may be adequate for appropriate catheter types as in the case presented here, endoscopic or surgical removal techniques may also be required.Keywords: Gastrostomy; complicationsTurkiye Klinikleri J Med Sci 2007, 27:618-621
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