Buried bumper syndrome: do we have enough evidence?

Jose Bennell

Journal: British journal of community nursing 2019;23(Sup7):S28-S30

PMID: 30011232

Abstract

Buried Bumper Syndrome (BBS) is a rare complication of percutaneous endoscopic gastrostomy (PEG) tubes. Advice in prevention guidelines differ, but locally agreed protocols can be agreed using the existing evidence. Consideration needs to be given as to how tightly a PEG is clipped after insertion to prevent gastric leakage, and how long after the procedure should it be loosened to prevent BBS. The distance a PEG tube is advanced and whether it should be rotated is also important in order to prevent BBS. The locally developed protocols need to include clear instructions for staff and patients and a supportive education programme, alongside clear record keeping.

Address: Royal Free London NHS Foundation Trust, London.

DOI: 10.12968/bjcn.2018.23.Sup7.S28

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https://medlineplus.gov/foreignbodies.html

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https://scite.ai/reports/30011232

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https://www.magonlinelibrary.com/doi/10.12968/bjcn...

MeSH Terms: Device Removal, Enteral Nutrition, Equipment Design, Equipment Failure, Foreign Bodies, Gastroscopy, Gastrostomy, Humans, Intubation, Gastrointestinal, Risk Factors, Syndrome