| 词条 | Buried bumper syndrome |
| 释义 |
|name = |synonym = |image = |image_size = |alt = |caption = |pronounce = |specialty = Gastroenterology |symptoms = |complications = |onset = |duration = |types = |causes = |risks = |diagnosis = |differential = |prevention = |treatment = |medication = |prognosis = |frequency = |deaths = }} Buried bumper syndrome is a condition affect feeding tubes placed into the stomach (gastrostomy tubes) through the abdominal wall. Gastrostomy tubes include an internal bumper, which secures the inner portion of the tube inside the stomach. CauseBuried bumper syndrome occurs when this internal bumper erodes into the wall of the stomach, sometimes becoming entirely buried within the wall of the stomach. Buried bumper syndrome tends to be a late complication of gastrostomy tube placement, but can rarely occur as early as 3 weeks after tube placement.[1] DiagnosisBuried bumper syndrome may be suspected based on features consistent with this disorder. The diagnosis is confirmed either endoscopically (via upper endoscopy) or with computed tomography.[2] TreatmentTreatment of buried bumper syndrome consists of removal of the gastrostomy tube. Several different approaches may be utilized, including endoscopy.[3] EpidemiologyBuried bumper syndrome occurs in 0.3-2.4% of patients. Excessive tightening of the external bumper is likely a primary cause of buried bumper syndrome. Maintaining the external bumper in a loose position may help prevent buried bumper syndrome.[4] Obesity is the most important risk factor associated with buried bumper syndrome. HistoryIn 1980, the first percutaneous endoscopic gastrostomy (PEG) tube was reported, as an alternative to an open surgical placement of feeding tubes. The first cases of buried bumper syndrome were reported in 1988 and 1989.[5] The term "buried bumper syndrome" was first used in 1990.[3] See also
References1. ^{{cite journal |last1=Geer |first1=W |last2=Jeanmonod |first2=R |title=Early presentation of buried bumper syndrome. |journal=The Western Journal of Emergency Medicine |date=September 2013 |volume=14 |issue=5 |pages=421–3 |doi=10.5811/westjem.2013.2.15843 |pmid=24106531|pmc=3789897 }} {{Gastroenterology}}2. ^{{cite journal |last1=Biswas |first1=S |last2=Dontukurthy |first2=S |last3=Rosenzweig |first3=MG |last4=Kothuru |first4=R |last5=Abrol |first5=S |title=Buried bumper syndrome revisited: a rare but potentially fatal complication of PEG tube placement. |journal=Case Reports in Critical Care |date=2014 |volume=2014 |pages=634953 |doi=10.1155/2014/634953 |pmid=24829838|pmc=4010002 }} 3. ^1 {{cite journal |last1=Klein |first1=S |last2=Heare |first2=BR |last3=Soloway |first3=RD |title=The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy. |journal=The American Journal of Gastroenterology |date=April 1990 |volume=85 |issue=4 |pages=448–51 |pmid=2109527}} 4. ^{{cite journal |last1=SHEERS |first1=R |last2=CHAPMAN |first2=S |title=The buried bumper syndrome: a complication of percutaneous endoscopic gastrostomy |journal=Gut |date=1 October 1998 |volume=43 |issue=4 |pages=586 |doi=10.1136/gut.43.4.586a|pmid=9882193 |pmc=1727284 }} 5. ^{{cite journal |last1=Cyrany |first1=J |last2=Rejchrt |first2=S |last3=Kopacova |first3=M |last4=Bures |first4=J |title=Buried bumper syndrome: A complication of percutaneous endoscopic gastrostomy. |journal=World Journal of Gastroenterology |date=14 January 2016 |volume=22 |issue=2 |pages=618–27 |doi=10.3748/wjg.v22.i2.618 |pmid=26811611|pmc=4716063 }} 1 : Gastroenterology |
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