Bathobakae Lefika, Leone Celia, Elagami Mohamed M, Shah Hardikkumar, Baddoura Walid
Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA.
Internal Medicine, St. George's University School of Medicine, St. Georgestown, GRD.
Cureus. 2023 Mar 17;15(3):e36289. doi: 10.7759/cureus.36289. eCollection 2023 Mar.
Buried bumper syndrome (BBS) is a rare but severe complication of percutaneous endoscopic gastrostomy (PEG) tube feeding. Patients with BBS lose PEG tube patency and may experience peristomal pain, content leaks, or peritonitis. An early diagnosis can avert further complications. BBS is a clinical diagnosis, but an abdominal computerized tomography scan or upper endoscopy is needed to confirm the diagnosis. BBS is a long-term complication of PEG tube feeding, and cases of acute onset are scant in the literature. We report a unique case of a 65-year-old female with a history of stroke who developed BBS five weeks after PEG tube placement.
埋藏式胃造口管综合征（BBS）是经皮内镜下胃造口术（PEG）管饲的一种罕见但严重的并发症。BBS患者的PEG管会失去通畅性，并可能出现造口周围疼痛、内容物渗漏或腹膜炎。早期诊断可避免进一步的并发症。BBS是一种临床诊断，但需要进行腹部计算机断层扫描或上消化道内镜检查来确诊。BBS是PEG管饲的一种长期并发症，文献中急性起病的病例很少。我们报告了一例独特的病例，一名65岁有中风病史的女性在PEG管置入五周后发生了BBS。
