Multicenter cohort study of patients with buried bumper syndrome treated endoscopically with a novel, dedicated device.

Gastrointestinal Endoscopy
Deborah CostaAlberto Murino

Abstract

Buried bumper syndrome (BBS) is a rare adverse event of percutaneous endoscopic gastrostomy (PEG) placement in which the internal bumper migrates through the stomal tract to become embedded within the gastric wall. Excessive tension between the internal and external bumpers, causing ischemic necrosis of the gastric wall, is believed to be the main etiologic factor. Several techniques for endoscopic management of BBS have been described using off-label devices. The Flamingo set is a novel, sphincterotome-like device specifically designed for BBS management. We aimed to evaluate the effectiveness of the Flamingo device in a large, homogeneous cohort of patients with BBS. A guidewire was inserted through the external access of the PEG tube into the gastric lumen. The Flamingo device was then introduced into the stomach over the guidewire. This dedicated tool can be flexed by 180 degrees, exposing a sphincterotome-like cutting wire, which is used to incise the overgrown tissue until the PEG bumper is exposed. A retrospective, international, multicenter cohort study was conducted on 54 patients between December 2016 and February 2019. The buried bumper was successfully removed in 53 of 55 procedures (96.4%). The median time for the ...Continue Reading

References

May 1, 1995·Gastrointestinal Endoscopy·J W BoydD F Kirby
Aug 31, 2002·Journal of Gastroenterology and Hepatology·Charles K F Vu
Apr 24, 2003·Gastrointestinal Endoscopy·Barbara BradenHans Seifert
Nov 1, 2003·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Harvey L BumpersEddie L Hoover
Jun 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jose Luis UllaEnrique Vazquez-Astray
Apr 30, 2014·Gastrointestinal Endoscopy·Brintha K EnestvedtWaqar A Qureshi
Jul 16, 2014·World Journal of Gastroenterology : WJG·Irina BlumensteinJürgen Stein
Jan 27, 2016·World Journal of Gastroenterology : WJG·Jiri CyranyJan Bures
Feb 15, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Emily ClarkeStephen Lewis
May 22, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Ozgur KaraMeltem Halil
Nov 1, 2017·World Journal of Gastroenterology : WJG·Laura E WolpertAndrew Tsang
Jul 17, 2018·British Journal of Community Nursing·Jose Bennell
Feb 14, 2019·Endoscopy·Pieter HindryckxAndreas Wannhoff
Jul 31, 2019·Endoscopy·Nikolaos LazaridisEdward J Despott

❮ Previous
Next ❯

Citations

May 6, 2021·BMJ Open Gastroenterology·Kurt Boeykens, Ivo Duysburgh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
Deepak KejariwalY Miao
Nederlands tijdschrift voor geneeskunde
Aafke H C van RoonHenk R van Buuren
Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
Vui Heng Chong
© 2021 Meta ULC. All rights reserved