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National Repository of Grey Literature 2 records found  Search took 0.00 seconds. 
Buried bumper syndrome - a complication of percutaneous endoscopic gastrostomy
 Cyrany, Jiří ; Kopáčová, Marcela (advisor) ; Dítě, Petr (referee) ; Procházka, Vlastimil (referee)
Percutaneous endoscopic gastrostomy is a widely used method of nutrition delivery for patients with long-term insufficiency of oral intake. Buried bumper syndrome belongs to severe complications of this method, in which the internal fixation device migrates along the tract of the stoma outside the stomach. Even though all the precautions are respected - including adequate positioning of the outer fixator - this complication does occur. The buried bumper syndrome can be managed surgically or endoscopicaly in many modifications. Published series of this syndrome are not robust enough; they differ in its incidence. Some published results indicate increase of the incidence in time, however there is no explanation for this change. Until now there is no universal diagnostic and therapeutic algorithm based on the degree of disc submersion determined by reliable and feasible methods. Dissection of the overgrowing tissue is the determinant for a successful endoscopic therapy, nevertheless methods described until now are clumsy and bear a significant risk of complications such as bleeding and perforation. Forty cases of the buried bumper syndrome in 38 patients were identified in this study based on the retrospective analysis of 1248 procedures with percutaneous endoscopic gastrostomy implantation during...
Detailed record
Buried bumper syndrome - a complication of percutaneous endoscopic gastrostomy
 Cyrany, Jiří ; Kopáčová, Marcela (advisor) ; Dítě, Petr (referee) ; Procházka, Vlastimil (referee)
Percutaneous endoscopic gastrostomy is a widely used method of nutrition delivery for patients with long-term insufficiency of oral intake. Buried bumper syndrome belongs to severe complications of this method, in which the internal fixation device migrates along the tract of the stoma outside the stomach. Even though all the precautions are respected - including adequate positioning of the outer fixator - this complication does occur. The buried bumper syndrome can be managed surgically or endoscopicaly in many modifications. Published series of this syndrome are not robust enough; they differ in its incidence. Some published results indicate increase of the incidence in time, however there is no explanation for this change. Until now there is no universal diagnostic and therapeutic algorithm based on the degree of disc submersion determined by reliable and feasible methods. Dissection of the overgrowing tissue is the determinant for a successful endoscopic therapy, nevertheless methods described until now are clumsy and bear a significant risk of complications such as bleeding and perforation. Forty cases of the buried bumper syndrome in 38 patients were identified in this study based on the retrospective analysis of 1248 procedures with percutaneous endoscopic gastrostomy implantation during...
Detailed record

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