A buried bumper syndrome (BBS) é uma complicação decorrente da gastrostomia endoscópica percutânea. Consiste no crescimento de mucosa gástrica sobre o anteparo interno com alojamento do mesmo em qualquer local trajeto formado pela sonda, desde as camadas parede até abdominal. Com incidência variando 0,9% a 8,8%, tipicamente tardia (após 3 6 meses), mas também foram descritos casos precoces, com...

Abstract The front bumper is the earliest part of vehicle that exposed to head-on airflow, and optimization side plays an extremely important role in development air drag vehicle. In this paper, a model optimized by numerical simulation method, which greatly improves

Abstract Aim Buried Bumper Syndrome is a rare, major late complication of percutaneous endoscopic gastrostomy (PEG) occurring in 1% cases. It occurs when the internal bumper PEG tube erodes into gastric wall. This lead to loss patency, leakage and inability change endoscopically. Until recently, treatment was surgical removal under general anaesthesia. However, patients with BBS are likely have...