Buried bumper syndrome

Irenawati SAMAD and Vui Heng CHONG

Gastroenterology Unit, Department of Medicine, RIPAS Hospital, Brunei Darussalam



Percutaneous endoscopic gastrostomy (PEG) tube has been used to provide long-term nutritional support for patients who are unable to maintain sufficient oral intake. Buried bumper syndrome (BBS) is an uncommon complication of PEG tube insertion that can be associated with serious complications. We report a case an 82-year-old man who presented with BBS that occurred eight months after PEG tube insertion. The migrated PEG tube was removed and fortunately, the patientís swallowing had improved to allow sufficient oral intake. Clinicians should consider BBS in any patients with PEG tube who present with difficulty with feeding or tube blockage.


Keywords: complications, migration, percutaneous endoscopic gastrostomy


Brunei Int Med J. 2010; 6 (1): 52-55