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Βuried bumper syndrome presenting with hematemesis two weeks after percutaneous endoscopic gastrostomy placement.

Papafragkakis H, Ona MA, Anand S, Moshenyat Y - Ann Gastroenterol (2015 Oct-Dec)

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center (Haris Papafragkakis, Mel A. Ona, Sury Anand), Brooklyn, NY, USA.

No MeSH data available.


Related in: MedlinePlus

Endoscopic view from within the stomach showing the percutaneous endoscopic gastrostomy pushed into the gastric lumen revealing ulceration, erythema, and exudate
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Figure 2: Endoscopic view from within the stomach showing the percutaneous endoscopic gastrostomy pushed into the gastric lumen revealing ulceration, erythema, and exudate

Mentions: A 63-year-old woman with recent cerebrovascular accident, presented with hematemesis 15 days after placement of a percutaneous endoscopic gastrostomy (PEG) for dysphagia. She was afebrile, had no abdominal pain, and white blood cell count was normal. Urgent upper endoscopy showed that the PEG bumper was embedded within the gastric mucosa and eroded into the abdominal wall. There was significant ulceration, erythema, and exudate. The endoscopic findings are seen in Fig. 1 and 2. The PEG was cut and endoscopically removed through the mouth with a snare. The patient was made nil per os for 48 h and kept on a proton pump inhibitor infusion. Subsequently, a nasogastric tube was placed for feedings with plan for new PEG placement at a different site.


Βuried bumper syndrome presenting with hematemesis two weeks after percutaneous endoscopic gastrostomy placement.

Papafragkakis H, Ona MA, Anand S, Moshenyat Y - Ann Gastroenterol (2015 Oct-Dec)

Endoscopic view from within the stomach showing the percutaneous endoscopic gastrostomy pushed into the gastric lumen revealing ulceration, erythema, and exudate
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4585400&req=5

Figure 2: Endoscopic view from within the stomach showing the percutaneous endoscopic gastrostomy pushed into the gastric lumen revealing ulceration, erythema, and exudate
Mentions: A 63-year-old woman with recent cerebrovascular accident, presented with hematemesis 15 days after placement of a percutaneous endoscopic gastrostomy (PEG) for dysphagia. She was afebrile, had no abdominal pain, and white blood cell count was normal. Urgent upper endoscopy showed that the PEG bumper was embedded within the gastric mucosa and eroded into the abdominal wall. There was significant ulceration, erythema, and exudate. The endoscopic findings are seen in Fig. 1 and 2. The PEG was cut and endoscopically removed through the mouth with a snare. The patient was made nil per os for 48 h and kept on a proton pump inhibitor infusion. Subsequently, a nasogastric tube was placed for feedings with plan for new PEG placement at a different site.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology and Hepatology, The Brooklyn Hospital Center (Haris Papafragkakis, Mel A. Ona, Sury Anand), Brooklyn, NY, USA.

No MeSH data available.


Related in: MedlinePlus