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. 2019 Jul;51(7):689-693.
doi: 10.1055/a-0833-8516. Epub 2019 Feb 13.

A novel device for the endoscopic management of buried bumper syndrome

Pieter Hindryckx  1 , Barbara Dhooghe  2 , Andreas Wannhoff  3
Affiliations

A novel device for the endoscopic management of buried bumper syndrome

Pieter Hindryckx et al. Endoscopy. 2019 Jul.

Abstract

Background: Buried bumper syndrome (BBS) is a complication of percutaneous endoscopic gastrostomy (PEG) in which the internal bumper is overgrown by the gastric mucosa. Apart from loss of patency of the PEG tube, the buried bumper may evoke symptoms such as abdominal pain or peritubular leakage. While the management of an incompletely buried bumper is fairly straightforward, this is not the case for a completely buried bumper. Different approaches to remove completely buried bumpers have been described, including endoscopic knife- or papillotome-based techniques. However, these devices are used off-label and the procedures can be laborious.

Methods: The Flamingo device has recently been introduced as the first tool specifically designed to remove a completely buried bumper.

Results: We describe the technique and our first experience in five patients with a completely (n = 4) or almost completely (n = 1) buried bumper. Fast and save removal of the buried bumper was obtained in all patients.

Conclusion: We believe that this device has the potential to become the standard first-line tool for the management of completely buried bumpers.

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Conflict of interest statement

P. Hindryckx has no conflicts of interest related to this work. A. Wannhoff’s Department of Gastroenterology at Klinikum Ludwigsburg received a study grant from medwork for planning and conduct of a prospective study evaluating the Flamingo system.

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  • Video Comment on Pieter Hindryckx et al.
    [No authors listed] [No authors listed] Endoscopy. 2019 Jul;51(7):v20. doi: 10.1055/a-0853-3681. Epub 2019 Jun 27. Endoscopy. 2019. PMID: 31247650 No abstract available.

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