Early Buried Bumper Syndrome – To Leave or Not to Leave

To leave or not to leave.

Lies, damned lies and Brexit statistics. It's not been a good month for anyone espousing evidence-based policy and politics after the chair of the Commons health committee switched from Leave to Remain, citing misuse of data by the Leave campaign.

Why Customers Leave or Decide Not to Leave – 40

Early Presentation of Buried Bumper Syndrome

Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal pathology. Complications that follow this common procedure include dislodgement, dysfunction, infection and aspiration. The "Buried Bumper Syndrome" (BBS) is an infrequent and late complication of PEG tubes that can result i...

Buried Bumper Syndrome Leading to Peritonitis and Ileus

A 90-year-old woman presented to the author’s hospital with vomiting. Four years previously, she had undergone percutaneous endoscopic gastrostomy due to cerebral infarction. The patient’s abdomen was distended with tenderness and bowel sounds were absent. Abdominal radiography showed noticeable small intestinal gas (Picture 1). Computed tomography revealed a tube bumper outside of the stomach ...

Buried Bumper Syndrome: Can We Prevent It?

CASE REPORT M.W., a pleasant 47-year-old morbidly obese Caucasian female, arrived at our institution’s Emergency Department complaining of abdominal pain. Her pain was localized to the left upper quadrant, non-radiating, 8/10 in severity and relatively recent (onset 12 hours prior to admission) Of note, M.W. has a significant history of gastroparesis and she recently underwent an elective percu...