| Popis: |
In patients with a long-term insufficiency of oral intake, a percutaneous endoscopic gastrostomy (PEG) is a widely used method of nutrition delivery. PEG complication rates vary from 0.4 to 22.5%. One of the major complications is a buried bumper syndrome, where the internal fixation device migrates alongside the stoma tract out of the stomach. Because of the complications (gastro-intestinal bleedings) perforation, peritonitis, intra-abdominal and abdominal wall abscesses), which can be fatal, a definitive removal must be executed. This is mostly managed through an endoscopic or a surgical treatment. In this article, the medical history of a 58-yearold lady with a buried bumper, which was successfully removed by the endoscopically snare push-and-pull technique, is discussed. |
