1999 Volume 41 Issue 5 Pages 1107-1110
A74-year-old man had repeatedly suffered from cerebral infarction resulting in theprogress of dysphagia. Therefore, a percutaneous endoscopic gastrostomy (PEG) wasperformed for the purpose of feeding, in which the gastrostomy tube was pulled down intothe stomach through the anterior abdominal wall using a Microvasive one Step Butten fit (18Fr). After 4 weeks of normal function, difficulties in the infusion of enteral feeding andtube leakage occured. Radiographic examination of the gastrostomy tube revealed theintaragastric bumper to be ernbedded in the abdominal wall. The tube could be removedpercutaneously sharpening the burnper using an obturator withou.t an endoscopic or surgical procedure. After removal of the tube, an 18 Fr Foley balloon catheter was replaced.This case suggests that the"burried bumper syndrome", which was reported to be seenusually in about 3 months after PEG, could occur as an earlier event.
