{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:06:43Z","timestamp":1789142803163,"version":"build-2803163510"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T00:00:00Z","timestamp":1625443200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Buried bumper syndrome (BBS) is a rare complication associated with percutaneous endoscopic gastrostomy (PEG) tubes. It develops when the internal bumper migrates through the gastric wall, lodging anywhere along the gastrostomy tract leading to overgrowth of gastric mucosa thereby encasing the tube. BBS can lead to bleeding, perforation, peritonitis and intra-abdominal sepsis. Our case is a 71-year-old female presenting with tenderness, erythema and purulent discharge at the PEG tube site 2-weeks post-insertion. Computer tomography scan demonstrated the PEG had dislodged with the internal bumper in the subcutaneous tissue and the distal tip lying within the tract beyond the stomach wall. The PEG was removed by simple external traction. The patient clinically improved and discharged home on day three.<\/jats:p>\n               <jats:p>Although BBS usually occurs late post-PEG insertion, it can also occur acutely. Preventative measures should be adopted at ward-level and emphasized with appropriate PEG tube care information provided to patients to avoid and recognize such complication.<\/jats:p>","DOI":"10.1093\/jscr\/rjab261","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T19:55:50Z","timestamp":1622145350000},"source":"Crossref","is-referenced-by-count":2,"title":["Buried bumper syndrome: a case report of an early PEG gastropexy-associated complication in a patient with gastric volvulus"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5971-074X","authenticated-orcid":false,"given":"Amenah","family":"Dhannoon","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital Galway, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maha","family":"AlKhattab","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Galway, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishabh","family":"Sehgal","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Galway, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris G","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Galway, Galway, Ireland"},{"name":"Academic Department of Surgery, National University of Ireland Galway, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,5]]},"reference":[{"key":"2021070900193829400_ref1","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/S0022-3468(80)80296-X","article-title":"Gastrostomy without laparotomy: a percutaneous endoscopic technique","volume":"15","author":"Gauderer","year":"1980","journal-title":"J Pediatr Surg"},{"key":"2021070900193829400_ref2","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/S0002-9610(01)00760-7","article-title":"Minimally invasive management of paraesophageal herniation in the high-risk surgical patient","volume":"182","author":"Kercher","year":"2001","journal-title":"Am J Surg"},{"key":"2021070900193829400_ref3","doi-asserted-by":"crossref","first-page":"618","DOI":"10.3748\/wjg.v22.i2.618","article-title":"Buried bumper syndrome: A complication of percutaneous endoscopic gastrostomy","volume":"22","author":"Cyrany","year":"2016","journal-title":"World J Gastroenterol"},{"key":"2021070900193829400_ref4","article-title":"Percutaneous endoscopic gastrostomy management of buried bumper syndrome-decision tree","author":"Nutrition BAfPaE","year":"2012"},{"key":"2021070900193829400_ref5","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/j.gie.2008.04.015","article-title":"Clinical manifestations and management of buried bumper syndrome in patients with percutaneous endoscopic gastrostomy","volume":"68","author":"Lee","year":"2008","journal-title":"Gastrointest Endosc"},{"key":"2021070900193829400_ref6","doi-asserted-by":"crossref","first-page":"102","DOI":"10.15746\/sms.15.023","article-title":"Two Cases of Early Onset Acute Buried Bumper Syndrome after Percutaneous Endoscopic Gastrostomy","volume":"21","author":"Lee","year":"2015","journal-title":"Soonchunhyang Med Sci"},{"key":"2021070900193829400_ref7","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-225876","article-title":"Buried bumper syndrome presenting with bleeding","volume":"11","author":"Bamakhrama","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2021070900193829400_ref8","first-page":"325","article-title":"Buried bumper syndrome with a fatal outcome, presenting early as gastrointestinal bleeding after percutaneous endoscopic gastrostomy placement","volume":"49","author":"Anagnostopoulos","year":"2003","journal-title":"J Postgrad Med"},{"key":"2021070900193829400_ref9","doi-asserted-by":"crossref","first-page":"e76","DOI":"10.1055\/s-0039-1692148","article-title":"Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases","volume":"5","author":"Devia","year":"2019","journal-title":"Surg J (N Y)"},{"key":"2021070900193829400_ref10","first-page":"322","article-title":"Buried bumper syndrome: cut and leave it alone! Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral","volume":"23","author":"Kejariwal","year":"2008","journal-title":"Nutrition"},{"key":"2021070900193829400_ref11","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1093\/qjmed\/hcy176","article-title":"Management of buried bumper syndrome","volume":"112","author":"Chong","year":"2019","journal-title":"QJM"},{"key":"2021070900193829400_ref12","doi-asserted-by":"crossref","first-page":"6546","DOI":"10.3748\/wjg.v23.i35.6546","article-title":"Novel endoscopic management of buried bumper syndrome in percutaneous endoscopic gastrostomy: The Olympus HookKnife","volume":"23","author":"Wolpert","year":"2017","journal-title":"World J Gastroenterol"},{"key":"2021070900193829400_ref13","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1159\/000446018","article-title":"The Challenging Buried Bumper Syndrome after Percutaneous Endoscopic Gastrostomy","volume":"10","author":"Afifi","year":"2016","journal-title":"Case Rep Gastroenterol"},{"key":"2021070900193829400_ref14","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1097\/00129689-200210000-00010","article-title":"Laparoscopic percutaneous endoscopic gastrostomy removal in a patient with buried-bumper syndrome: a new approach","volume":"12","author":"Boreham","year":"2002","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2021070900193829400_ref15","first-page":"8","article-title":"Buried bumper syndrome: can we prevent it?","volume":"34","author":"Pop","year":"2010","journal-title":"Pract Gastroenterol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/7\/rjab261\/38883881\/rjab261.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/7\/rjab261\/38883881\/rjab261.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T07:26:01Z","timestamp":1625815561000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjab261\/6314701"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,1]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjab261","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,7]]},"published":{"date-parts":[[2021,7,1]]},"article-number":"rjab261"}}