title: Radial endoscopic ultrasonography and buried bumper endoscopic solution.
abstract: Percutaneous endoscopic gastrostomy is a widely used technique for long-term enteral nutrition. Buried bumper syndrome is one of the long-term complications of percutaneous endoscopic gastrostomy, and occurs when the internal retention bolster ulcerates the gastric mucosa, migrates into the deeper gastric wall and becomes covered by gastric mucosa. Clinically, this migration is revealed by a gradual increase of resistance at feeding administration and during catheter cleaning. It can also cause the infection of the site, leading to inflammatory changes and even sepsis. We show an endoscopic solution with argon beam local gastric destruction plus Savary dilatator introduction in the gastric camera. Endoscopic ultrasonography previous visualization of the gastric wall let's to realize this endoscopic solution.
authors.affiliation: Digestive Disease Service, Pontevedra Hospital Complex, C/Mourente s/n, Pontevedra, Spain. ullarojl@terra.es
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Ulla
authors.forename: Victoria
authors.initials: V
authors.lastname: Alvarez
authors.forename: Estela
authors.initials: E
authors.lastname: Fernandez-Salgado
authors.forename: Enrique
authors.initials: E
authors.lastname: Vazquez-Astray
mesh_terms: D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects; D019160:Endosonography / Q000379:methods*; D004750:Enteral Nutrition / Q000379:methods; D004868:Equipment Failure; D005753:Gastric Mucosa / Q000473:pathology; D005774:Gastrostomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013577:Syndrome