https://scholars.lib.ntu.edu.tw/handle/123456789/189595
標題: | Clinical Manifestations and Management of Buried Bumper Syndrome in Patients with Percutaneous Endoscopic Gastrostomy | 作者: | LEE, TZONG-HSI LIN, JAW-TOWN |
公開日期: | 2008 | 起(迄)頁: | 580-584 | 來源出版物: | Gastrointestinal Endoscopy | 摘要: | BACKGROUND: Buried bumper syndrome has been regarded as an uncommon and late complication after percutaneous endoscopic gastrostomy (PEG) tube insertion. A variety of techniques have been reported to treat this problem, but only a few published cases exist. OBJECTIVE: Our purpose was to present the clinical manifestations and our management of a series of 19 patients with buried bumper syndrome. DESIGN: Case series study. SETTING: Referral medical centers. PATIENTS: Within 5 years, 31 episodes of buried bumper syndrome occurred in 10 men and 9 women. The estimated prevalence was 8.8% (19 in 216 PEG procedures during this period). INTERVENTION: All the buried tubes were removed smoothly by external traction and replaced with a new pull-type feeding tube by the pull method or a button or balloon replacement tube after dilation of the old tract. MAIN OUTCOME MEASUREMENTS: Success rate, complication rate. RESULTS: The duration between occurrence of buried bumper syndrome and PEG placement ranged from 1 to 50 months, with a median of 18 months. All the episodes were treated successfully except for one, in which reinsertion failed and a new PEG tube was inserted 1 week later. No significant complications occurred. LIMITATION: Small sample size. CONCLUSIONS: Buried bumper syndrome is not that uncommon and can occur soon after insertion of a PEG tube. The buried tube can be safely removed by external traction and in most cases can then be replaced with a pull-type or balloon replacement tube. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/174591 | DOI: | 10.1016/j.gie.2008.04.015 |
顯示於: | 醫學系 |
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