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KMID : 0828520100140040265
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Journal of the Korean Geriatrics Society
2010 Volume.14 No. 4 p.265 ~ p.268
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A Case of Buried Bumper Syndrome Complicated by Abdominal Wall Abscess in an Elderly Patient
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Kim Chul-Young
Kim Min-Sung
Kim Do-Young
Lim Young-Bae
Kang Dong-Yoon
Yun Tack-Su
Yoon Sang-Seok
Lee Jung-Hyun
Kim Woo-Young
Lee Yong-Kyu
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Abstract
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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.
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KEYWORD
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Abscess, Buried bumper syndrome, Percutaneous Endoscopic Gastrostomy, Abdominal Wall
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