A Case of Buried Bumper Syndrome Complicated by Abdominal Wall Abscess in an Elderly Patient.
10.4235/jkgs.2010.14.4.265
- Author:
Chul Young KIM
1
;
Min Seong KIM
;
Do Young KIM
;
Young Bae LIM
;
Dong Yoon KANG
;
Tack Su YUN
;
Sang Seok YOON
;
Jung Hyun LEE
;
Woo Young KIM
;
Yong Kyu LEE
Author Information
1. Department of Internal Medicine, Good Gang-An Hospital, Busan, Korea. lyk59@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Abscess;
Buried bumper syndrome;
Percutaneous Endoscopic Gastrostomy;
Abdominal Wall
- MeSH:
Abdominal Wall;
Abscess;
Aged;
Fever;
Gastrostomy;
Humans;
Ileus;
Korea;
Nutritional Support
- From:Journal of the Korean Geriatrics Society
2010;14(4):265-268
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The percutaneous endoscopic gastrostomy is used for nutritional support in patients requiring prolonged tubal feeding. Unfortunately, numerous complications, such as infection, stomal leak, fever, local pain, ileus and tube occlusion, have been reported since its introduction. The buried bumper syndrome is a rare but well-recognized long-term complication. The tight anchorage between the internal and external bumpers leads to gastric mucosal erosion and embedding of the internal bumper into the gastric wall, obstructing feeding. Our case involves an elderly patient with a buried bumper syndrome complicated by an abdominal wall abscess. A similar case has not been reported in Korea before. This article reports our findings and management with a review of the literature.