Protein-losing enteropathy associated with buried gastrostomy balloon syndrome - 23/08/11
Doi : 10.1016/j.gie.2007.11.003
| Commentary The buried bumper syndrome occurs in about 2% of percutaneously inserted gastrostomies, most of which are likely caused by excessive pressure on the internal bumper as a result of overtightening of the external flange. Balloon catheters also may become embedded in the gastric wall, as in this case, and the inflammatory, ischemic process that results may weep protein into the GI tract. Whether the presence of von Willebrand’s disease facilitated the GI protein loss in some as-of-yet-unknown fashion is speculative and not reported previously. It can only be hoped that the technique used to place the third G-tube is different from that used for the second and that this sad affair does not recur. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2008
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 67 - N° 4
P. 725-726 - avril 2008 Retour au numéro
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