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The Korean Journal of Medicine 2009;76(6): 722-726.
경피 내시경하 위루술 시행 후 발생한 buried bumper syndrome 2예
김성민, 김선문, 양성욱, 이태희, 임의혁, 최용우, 강영우
Two cases of buried bumper syndrome after percutaneous endoscopic gastrostomy
Sung Min Kim, Sun Moon Kim, Seong Wook Yang, Tae Hee Lee, Euyi Hyeog Im, Young Woo Choi, Young Woo Kang
ABSTRACT
Percutaneous endoscopic gastrostomy (PEG) is used for nutritional support in patients who require prolonged tube feeding. However, numerous complications have been reported since its introduction. Buried bumper syndrome is an uncommon, but well-documented, complication of PEG placement. The condition often results from excessive pressure exerted on the gastric mucosa by the tight anchorage between the internal and external bumpers. This leads to mucosal erosion and embedding of the internal bumper in the gastric wall, which obstructs feeding. We report two cases of buried bumper syndrome: one was corrected using the push technique and the other was removed surgically.
Keywords: Percutaneous endoscopic gastrostomy; Buried bumper syndrome
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