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Buried bumper syndrome (BBS) is a condition that affects feeding tubes placed into the stomach (gastrostomy tubes) through the abdominal wall.Gastrostomy tubes include an internal bumper, which secures the inner portion of the tube inside the stomach, and external bumper, which secures the outer portion of the tube and opposes the abdomen.
The causes are divided into benign or malignant. Benign Peptic ulcer disease; Infections, such as tuberculosis; and infiltrative diseases, such as amyloidosis.; A rare cause of gastric outlet obstruction is blockage with a gallstone, also termed "Bouveret syndrome" or "Bouveret's syndrome".
A gastric feeding tube (G-tube or "button") is a tube inserted through a small incision in the abdomen into the stomach and is used for long-term enteral nutrition. One type is the percutaneous endoscopic gastrostomy (PEG) tube which is placed endoscopically. The position of the endoscope can be visualized on the outside of the person's abdomen ...
A jejunal feeding tube is an alternative to a gastrostomy feeding tube and is commonly used when gastric enteral feeding is contraindicated or carries significant risks. The advantage over a gastrostomy is its low risk of aspiration due to its distal placement. Disadvantages include small bowel obstruction, ischemia, and requirement for ...
The feeding tube is attached to the guidewire and pulled through the mouth, esophagus, stomach, and out of the incision. [2] In the Russell introducer technique, the Seldinger technique is used to place a wire into the stomach, and a series of dilators are used to increase the size of the gastrostomy. The tube is then pushed in over the wire. [7]
However, the term gauge, abbreviated G or ga, typically refers to the Birmingham gauge for hypodermic needles. [1] The French scale measures and is proportional to the outer diameter of a catheter, with 1 French (Fr) defined as 1 ⁄ 3 millimeter, making the relationship: 1 mm = 3 Fr.
One of the more urgent complications include displacement or dislodgment of the tracheotomy tube, either spontaneously or during a tube change. Although uncommon (< 1/1000 tracheostomy tube days), the associated fatality is high due to the loss of airway. [21]
Pneumothorax was reported as an adverse event caused by misplaced nasogastric feeding tubes. Avanos Medical's feeding tube placement system, the CORTRAK* 2 EAS, was recalled in May 2022 by the FDA due to adverse events reported, including pneumothorax, leading to 60 injuries and 23 people dying as communicated by the FDA. [24]