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1
Buried Bumper Syndrome: a rare complication during radical chemoradiotherapy for head and neck cancer.埋入式保险杠综合征：头颈部癌症根治性放化疗中的罕见并发症。
BMJ Case Rep. 2021 May 25;14(5):e238203. doi: 10.1136/bcr-2020-238203.
2
Buried bumper syndrome: prevention and management in the community.埋入式保险杠综合征：社区中的预防和管理。
Br J Community Nurs. 2021 Sep 2;26(9):428-432. doi: 10.12968/bjcn.2021.26.9.428.
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Tube feeding in patients with head and neck cancer undergoing chemoradiotherapy: A systematic review.头颈部癌症放化疗患者的管饲：系统评价。
JPEN J Parenter Enteral Nutr. 2022 Aug;46(6):1258-1269. doi: 10.1002/jpen.2360. Epub 2022 May 22.
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Enteral feeding in head and neck cancer patients at a UK cancer centre.英国癌症中心头颈部癌症患者的肠内营养。
J Hum Nutr Diet. 2013 Oct;26(5):421-8. doi: 10.1111/jhn.12029. Epub 2013 Feb 5.
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The advantage of retrieval PEG tubes in patients with buried bumper syndrome - a case report.埋藏式胃造口管综合征患者使用可回收胃造口管的优势——病例报告
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Nutritional interventions in patients with head and neck cancer undergoing chemoradiotherapy: Current practice at the Dutch Head and Neck Oncology centres.头颈部癌症放化疗患者的营养干预：荷兰头颈部肿瘤中心的现行实践。
Eur J Cancer Care (Engl). 2022 Jan;31(1):e13518. doi: 10.1111/ecc.13518. Epub 2021 Oct 12.
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Enteral feeding methods for nutritional management in patients with head and neck cancers being treated with radiotherapy and/or chemotherapy.对头颈部癌症患者进行放疗和/或化疗时，用于营养管理的肠内喂养方法。
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Are PEGJs a Risk Factor for the Buried Bumper Syndrome?经皮内镜下胃空肠造口术（PEGJ）是埋藏式吻合器综合征的危险因素吗？
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The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy.“埋藏式胃造口管综合征”：经皮内镜下胃造口术的一种并发症。
Am J Gastroenterol. 1990 Apr;85(4):448-51.
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Unnecessary delay of diagnosis of buried bumper syndrome resulting in surgery.
Eur J Gastroenterol Hepatol. 2006 Jul;18(7):789-92. doi: 10.1097/01.meg.0000219106.86176.7f.

本文引用的文献

1
Buried bumper syndrome: A complication of percutaneous endoscopic gastrostomy.埋藏式胃造口管综合征：经皮内镜下胃造口术的一种并发症。
World J Gastroenterol. 2016 Jan 14;22(2):618-27. doi: 10.3748/wjg.v22.i2.618.
2
Enteral nutrition access devices.肠内营养通路装置。
Gastrointest Endosc. 2010 Aug;72(2):236-48. doi: 10.1016/j.gie.2010.02.008. Epub 2010 Jun 11.
3
Understanding why patients die after gastrostomy tube insertion: a retrospective analysis of mortality.
JPEN J Parenter Enteral Nutr. 2009 Jul-Aug;33(4):375-9. doi: 10.1177/0148607108327156. Epub 2009 Apr 1.
4
Endoscopic approaches to enteral nutritional support.内镜下肠内营养支持方法
Best Pract Res Clin Gastroenterol. 2006;20(3):605-30. doi: 10.1016/j.bpg.2006.02.002.
5
Percutaneous endoscopic gastrostomy and gastrojejunostomy: a critical reappraisal of patient selection, tube function and the feasibility of nutritional support during extended follow-up.经皮内镜下胃造口术和胃空肠造口术：对患者选择、导管功能以及长期随访期间营养支持可行性的批判性重新评估。
Gastrointest Endosc. 1999 Dec;50(6):746-54. doi: 10.1016/s0016-5107(99)70153-7.
6
Gastrostomy placement and mortality among hospitalized Medicare beneficiaries.住院医疗保险受益人的胃造口术置入与死亡率
JAMA. 1998 Jun 24;279(24):1973-6. doi: 10.1001/jama.279.24.1973.
7
Audit of outcome of long-term enteral nutrition by percutaneous endoscopic gastrostomy.经皮内镜下胃造口术长期肠内营养结局的审计
Lancet. 1993 Apr 3;341(8849):869-72. doi: 10.1016/0140-6736(93)93072-9.
8
Percutaneous endoscopic gastrostomy. Indications, success, complications, and mortality in 314 consecutive patients.经皮内镜下胃造口术。314例连续患者的适应症、成功率、并发症及死亡率
Gastroenterology. 1987 Jul;93(1):48-52.

埋入式保险杠综合征：头颈部癌症根治性放化疗中的罕见并发症。

Buried Bumper Syndrome: a rare complication during radical chemoradiotherapy for head and neck cancer.

机构信息

Medical Oncology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

Medical Oncology, Eastern Regional Health Authority, Sangre Grande, Trinidad and Tobago.

出版信息

BMJ Case Rep. 2021 May 25;14(5):e238203. doi: 10.1136/bcr-2020-238203.

DOI:10.1136/bcr-2020-238203
PMID:34035012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8154684/
Abstract

Patients undergoing radical treatment particularly chemoradiotherapy for cancer of the upper aerodigestive tract frequently experience progressive deterioration in swallow during and immediately after treatment. It is important to identify patients at high risk of compromised feeding early, following diagnosis, so that alternate feeding routes, such as percutaneous endoscopic gastrostomies (PEGs), can be promptly and prophylactically instituted, in keeping with the UK Head and Neck Cancer Guidelines (2016).

摘要

接受上呼吸消化道癌症根治治疗（尤其是放化疗）的患者在治疗期间和治疗后吞咽功能会逐渐恶化。重要的是在诊断后及早识别有喂养困难高风险的患者，以便根据英国头颈部癌症指南（2016 年）及时预防性地采用其他喂养途径，如经皮内镜胃造口术（PEG）。