标题：The buried gastrostomy bumper syndrome: prevention and endoscopic approaches to removal

作者：Ma MMSemlacher EAFedorak RNLalor EADuerksen DRSherbaniuk RWChalpelsky CESadowski DC

网址:PMID: 7615232

求助者：ouyang

• 求助时间：2015/6/27 20:38:32
• 求助状态：AB图书馆客服已找到全文，详情咨询在线客服qq 1257749646
• 文献摘要：

Since its introduction in 1980, the percutaneous endoscopic gastrostomy (PEG) procedure has gained widespread popularity as a means of providing nutritional support to patients who cannot maintain adequate oral intake. 1 PEG tubes were developed as an alternative to surgical gastrostomy and can be inserted safely, rapidly and with less cost than the surgical techniquefi 3 However, major complications, including gastric perforation, hemorrhage, and severe aspiration occur in about 3 % of procedures; minor complications such as wound infection, ileus, stomal leak, and tube migration occur in about 13 % .4-6 Erosion of the internal bumper into the gastric wall, the so called "buried bumper syndrome," has been described more recently. 7 We report our experience with nine patients who developed the buried bumper syndrome as a complication of the PEG procedure, and describe endoscopic approaches used to remove the feeding tube and provide suggestions for prevention

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