Nennstiel S, Schlag C, Meining A
II. Medizinische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München.
Z Gastroenterol. 2013 Aug;51(8):744-6. doi: 10.1055/s-0033-1335713. Epub 2013 Aug 16.
Mucosal overgrowth and migration of the inner bumper into or even through the gastric wall (= buried bumper syndrome) is a possible complication of percutaneous endoscopic gastrostomy (PEG). In this case report we describe the successful endoscopic recovery of an intraabdominally migrated inner bumper as well as reestablishment of PEG using NOTES (Natural Orifice Translumenal Endoscopic Surgery). This practical application of the NOTES technique via the preexisting transgastric approach (PEG) can therefore be a reasonable alternative to a surgical-laparoscopic therapy of the severe buried bumper.
黏膜过度生长以及内套管移入甚至穿透胃壁（即埋藏式内套管综合征）是经皮内镜下胃造口术（PEG）可能出现的并发症。在本病例报告中，我们描述了通过内镜成功取出腹腔内移位的内套管，并使用NOTES（经自然腔道内镜手术）重建PEG的过程。因此，通过预先存在的经胃途径（PEG）对NOTES技术的这种实际应用，可以成为严重埋藏式内套管手术-腹腔镜治疗的合理替代方案。
