Endoscopy 2020; 52(S 01): S138
DOI: 10.1055/s-0040-1704425
ESGE Days 2020 ePoster Podium presentations
Upper GI: Management of complications 1 11:00 – 11:30 Thursday, April 23, 2020 ePoster Podium 1
© Georg Thieme Verlag KG Stuttgart · New York

UNUSUAL ENDOSCOPIC-LAPAROSCOPIC MANAGEMENT OF BURIED BUMPER SYNDROME AS COMPLICATION AFTER PERCUTANEOUS ENDOSCOPIC GASTROSTOMY PLACEMENT

R DiMitri
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
A Bonaccorso
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
D Scimeca
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
ML Mastro
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
E Conte
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
G Russo
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
,
F Mocciaro
1   ARNAS Civico - Di Cristina - Benfratelli Hospital, Gastroenterology and Endoscopy Unit, Palermo, Italy
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Publikationsdatum:
23. April 2020 (online)

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    A 67 years-old male with PEG was admitted for buried-bumper-syndrome (BBS).

    PEG tube was removed. We unsuccessfully tried to insert guidewire through the original tract of the fistula, either from abdominal wall towards gastric cavity or from gastric cavity towards abdominal orifice. Introducing a pediatric gastroscope through the cutaneous fistula into peritoneal cavity, we recovered with a forceps the guidewire placed into peritoneal cavity through the gastric orifice of the fistula, thus restoring the fistula via. After hydro-pneumatic dilation of the fistula, a new tube was replaced.

    Early BBS diagnosis and appropriate expertise can allow conservative resolution of this complication.


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