Resumo

MORENO, Nelson et al. "Buried bumber" syndrome (internal button buried of the gastrostomy): "unearthing the solution". Rev Col Gastroenterol [online]. 2007, vol.22, n.1, pp.51-56. ISSN 0120-9957.

The Buried bumper syndrome is a major complication of percutaneous endoscopic gastrostomy and the literature of in of having described of rarely. The fisiopathology is the gastric isquemy of the mucous one for an excessive pressure for the ends that fix the gastrostomy. Their clinical manifestations that depend on the depth of migration of the end go from the absence of symptoms, spill of the nutrition enteral being the most frequent, until peritonitis. The diverse described treatment modalities are based on the depth of migration of the end valued endoscopically. The successful use of the ecoendosonography is described for the estimate of the depth of the migration, when you cannot visualize the end internal endoscopically and we propose a handling algorithm based on this technique.

Palavras-chave : Endoscopy gastrostomy; echoendoscopy; endoscopy; major complication.

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