Abstract
Buried bumper syndrome (BBS) is a well-recognized complication of PEG placement caused by excessive outward traction on the tube. It can develop 1 to 50 months after tube insertion and is manifested by difficulty in feeding; peristomal leakage, bulging, and pain; and skin breakdown.1,2 Treatment involves manual or endoscopic removal of the tube with replacement, if needed.1,3 To our knowledge, this is the first case of BBS arising in a patient with a percutaneous endoscopic cecostomy (PEC) tube.
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