A CASE OF ENDOSCOPIC TREATMENT USING GRASPING-TYPE SCISSORS FORCEPS FOR BURIED BUMPER SYNDROME IN THE STOMACH WALL (WITH A VIDEO)

Abstract

A 78-year-old man underwent percutaneous endoscopic gastrostomy (PEG) seven years previously at our hospital. He was referred to our hospital at the present time because of tube obstruction and leakage of nutrients from the PEG tube. We performed esophagogastroduodenoscopy (EGD), endoscopic ultrasonography (EUS) and computed tomographic scanning, and diagnosed the patient with buried bumper syndrome in which the bumper of the PEG tube was buried in the gastric submucosa. We could not remove the bumper percutaneously.

On EGD, we cut the mucous membranes and submucosa on the buried bumper with grasping-type scissors forceps to expose the bumper, removed the bumper orally, and inserted a new PEG tube.