Revista chilena de pediatría
versión impresa ISSN 0370-4106
VIVES O., Luis Andrés et al. Recurrent migration of internal bumper gastrostomy: Buried bumper syndrome. Rev. chil. pediatr. [online]. 2005, vol.76, n.2, pp. 173-176. ISSN 0370-4106. doi: 10.4067/S0370-41062005000200008.
At present, gastrostomy has changed the treatment of children under ambulatory nutritional support, as well as in the long term nutrition of children with chronic pathologies. The percutaneous endoscopic gastrostomy (PEG) is the chosen procedure for its safety and its minimal invasiveness. In spite of this it is not exempt of complications, such as the migration of the gastrostomy button of the abdominal or gastric wall, known as the buried bumper syndrome. Clinical case: to illustrate this complication we present the case of a pre-school patient who underwent 2 endoscopic gastrostomies and on both occasions presented with this complication. Conclusions: In spite of the fact that we believe that PEG has many advantages, it nevertheless is an invasive procedure, with complications ranging from wound infection to buried bumper syndrome. Therefore it is necessary to study the risks-benefits of each particular case to avoid unnecesary morbidity
Palabras clave : percutaneous endoscopic gastrostomy; buried bumper syndrome; gastrostomy; enteral nutrition.