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Multicenter cohort study of patients with buried bumper syndrome treated endoscopically with a novel, dedicated device

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F21%3AN0000052" target="_blank" >RIV/00064190:_____/21:N0000052 - isvavai.cz</a>

  • Result on the web

    <a href="http://dx.doi.org/10.1016/j.gie.2020.11.009" target="_blank" >http://dx.doi.org/10.1016/j.gie.2020.11.009</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.gie.2020.11.009" target="_blank" >10.1016/j.gie.2020.11.009</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Multicenter cohort study of patients with buried bumper syndrome treated endoscopically with a novel, dedicated device

  • Original language description

    Background and Aims: Buried bumper syndrome (BBS) is a rare adverse event of percutaneous endoscopic gastrostomy (PEG) placement in which the internal bumper migrates through the stomal tract to become embedded within the gastric wall. Excessive tension between the internal and external bumpers, causing ischemic necrosis of the gastric wall, is believed to be the main etiologic factor. Several techniques for endoscopic management of BBS have been described using off-label devices. The Flamingo set is a novel, sphincterotome-like device specifically designed for BBS management. We aimed to evaluate the effectiveness of the Flamingo device in a large, homogeneous cohort of patients with BBS. Methods: A guidewire was inserted through the external access of the PEG tube into the gastric lumen. The Flamingo device was then introduced into the stomach over the guidewire. This dedicated tool can be flexed by 180 degrees, exposing a sphincterotome-like cutting wire, which is used to incise the overgrown tissue until the PEG bumper is exposed. A retrospective, international, multicenter cohort study was conducted on 54 patients between December 2016 and February 2019. Results: The buried bumper was successfully removed in 53 of 55 procedures (96.4%). The median time for the endoscopic removal of the buried bumper was 22 minutes (range, 5-60). Periprocedural endoscopic adverse events occurred in 7 procedures (12.7%) and were successfully managed endoscopically. A median follow-up of 150 days (range, 33-593) was performed in 29 patients (52.7%), during which no significant adverse events occurred. Conclusions: Through our experience, we found this dedicated novel device to be safe, quick, and effective for minimally invasive, endoscopic management of BBS.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30219 - Gastroenterology and hepatology

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    GASTROINTESTINAL ENDOSCOPY

  • ISSN

    0016-5107

  • e-ISSN

    1097-6779

  • Volume of the periodical

    93

  • Issue of the periodical within the volume

    6

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    8

  • Pages from-to

    1325-1332

  • UT code for WoS article

    000652833900017

  • EID of the result in the Scopus database

    2-s2.0-85100372579