Deivasigamani Aniruthan, Vinodhini Panneerselvam, Nelson Thirugnanam, Elamurugan T P, Gs Sreenath
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IND.
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry , IND.
Cureus. 2018 Oct 29;10(10):e3518. doi: 10.7759/cureus.3518.
Percutaneous endoscopic gastrostomy (PEG) is a commonly used minimally invasive procedure to provide safe and durable access for long-term enteral nutrition in patients when oral feeds are not possible. The reported complications of PEG range from minor wound infections to life-threatening complications like hemorrhage and peritonitis. The buried bumper syndrome is one of the uncommon complications with a reported incidence of 0.3 to 2.4%. Though it is considered to be a late complication, the buried bumper syndrome has been reported as early as two weeks following the procedure. A thorough knowledge about this unusual complication is important for the prevention, early recognition and successful management of this condition to avoid interruption of enteral nutrition to the patient. Here we report a case of buried bumper syndrome developed at four weeks after placement of PEG tube.
经皮内镜下胃造口术(PEG)是一种常用的微创手术,用于在患者无法进行口服喂养时为长期肠内营养提供安全且持久的通路。PEG报道的并发症范围从轻微的伤口感染到危及生命的并发症,如出血和腹膜炎。埋藏式胃造口管综合征是一种罕见的并发症,报道的发生率为0.3%至2.4%。尽管它被认为是一种晚期并发症,但埋藏式胃造口管综合征在手术后两周就有报道。全面了解这种不寻常的并发症对于预防、早期识别和成功处理这种情况很重要,以避免中断患者的肠内营养。在此,我们报告一例在PEG管置入四周后发生的埋藏式胃造口管综合征病例。