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Case Reports in Medicine
Volume 2016, Article ID 5379291, 3 pages
Case Report

The Buried Bumper Syndrome: External Bumper Extraction after Radial Mini Incisions and Replacement through an Adjacent Tract

1Gastroenterology Department, Military Universitary Hospital, Oran, Algeria
2Gastroenterology Department, Military Universitary Hospital, Constantine, Algeria
3Digestive Endoscopy Unit, Central Hospital of Army, Algiers, Algeria

Received 31 July 2016; Accepted 19 October 2016

Academic Editor: Jagdish Butany

Copyright © 2016 M. A. Benatta. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Although considered as a safe method to provide long-term nutritional support, percutaneous endoscopic gastrostomy (PEG) may be complicated by a buried bumper syndrome (BBS), a life-threatening condition. Removal of the PEG tube with its buried bumper and reinsertion of a new PEG tube is often necessary. Since its description in 1988, less than 50 cases of BBS managed by external extraction of the buried bumper have been reported. We report a case of buried bumper that was removed by external traction without the need for endoscopic or laparoscopic treatment but with the need of two radial millimeter skin incisions after abdominal CT study and finally immediate PEG replacement but through an adjacent site.