Abstract

As the letter of Drs Tsai and Lin mentioned, the prevalence of buried bumper syndrome (BBS) in our series was higher than that reported in the literature (8.8% vs 0.3-2.4%).1 It is an important point of our article that BBS is not so uncommon. It is not easy to obtain the accurate prevalence of BBS, because the complete follow-up of patients after PEG-tube insertion is difficult, and an unrecognized occurrence of some BBS may occur. During the period of May 1997 to May 2005, nearly all PEG procedures in our series were performed by one endoscopist (T.-H.L.), and patients returned for management of complications, which allowed us to detect more BBS.

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