A Case of Buried Bumper Syndrome Complicated by Abdominal Wall Abscess in an Elderly Patient

Kim, Chul Young; Kim, Min Seong; Kim, Do Young; Lim, Young Bae; Kang, Dong Yoon; Yun, Tack Su; Yoon, Sang Seok; Lee, Jung Hyun; Kim, Woo Young; Lee, Yong Kyu

doi:2010.14.4.265

Ann Geriatr Med Res > Volume 14(4); 2010 > Article

Case Report

Journal of the Korean Geriatrics Society 2010;14(4):265-268.
DOI: https://doi.org/10.4235/jkgs.2010.14.4.265 Published online December 31, 2010.

A Case of Buried Bumper Syndrome Complicated by Abdominal Wall Abscess in an Elderly Patient

Chul Young Kim, Min Seong Kim, Do Young Kim, Young Bae Lim, Dong Yoon Kang, Tack Su Yun, Sang Seok Yoon, Jung Hyun Lee, Woo Young Kim, Yong Kyu Lee

¹Department of Internal Medicine, Good Gang-An Hospital, Busan, Korea. lyk59@medimail.co.kr
²Department of General Surgery, Good Gang-An Hospital, Busan, Korea.

노인 환자에서의 Buried Bumper Syndrome에 동반된 복벽 농양 1예

김철영¹.김민성¹.김도영¹.임영배¹.강동윤¹.윤택수¹.윤상석¹.이정현¹.김우영².이용규¹

좋은강안병원 내과¹, 외과²

Abstract

The percutaneous endoscopic gastrostomy is used for nutritional support in patients requiring prolonged tubal feeding. Unfortunately, numerous complications, such as infection, stomal leak, fever, local pain, ileus and tube occlusion, have been reported since its introduction. The buried bumper syndrome is a rare but well-recognized long-term complication. The tight anchorage between the internal and external bumpers leads to gastric mucosal erosion and embedding of the internal bumper into the gastric wall, obstructing feeding. Our case involves an elderly patient with a buried bumper syndrome complicated by an abdominal wall abscess. A similar case has not been reported in Korea before. This article reports our findings and management with a review of the literature.

Key Words: Abscess, Buried bumper syndrome, Percutaneous Endoscopic Gastrostomy, Abdominal Wall