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World J Gastrointest Endosc. Feb 16, 2023; 15(2): 44-55
Published online Feb 16, 2023. doi: 10.4253/wjge.v15.i2.44
Buried bumper syndrome: A critical analysis of endoscopic release techniques
Alexandra Menni, Georgios Tzikos, George Chatziantoniou, Persefoni Gionga, Theodosios S Papavramidis, Anne Shrewsbury, George Stavrou, Katerina Kotzampassi
Alexandra Menni, Georgios Tzikos, George Chatziantoniou, Persefoni Gionga, Theodosios S Papavramidis, Anne Shrewsbury, George Stavrou, Katerina Kotzampassi, Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki 54636, Greece
Author contributions: Menni A, Giogga P, Georgios C, and Papavramidis T performed the literature review and drafted the manuscript; Tzikos G and Stavrou G performed a critical revision; Shrewsbury A performed language editing, drafted and critically revised the manuscript; Kotzampassi K conceived the original idea, performed the literature review, drafted and critically revised the manuscript; all authors have read and approved the final manuscript.
Conflict-of-interest statement: The informed consent was waived from the patients.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Katerina Kotzampassi, Doctor, MD, PhD, Senior Scientist, Surgeon, Department of Surgery, Aristotle University of Thessaloniki, University Campus, Thessaloniki 54636, Greece. kakothe@yahoo.com
Received: November 16, 2022
Peer-review started: November 16, 2022
First decision: December 11, 2022
Revised: December 23, 2022
Accepted: January 23, 2023
Article in press: January 23, 2023
Published online: February 16, 2023
Processing time: 88 Days and 20.8 Hours
Core Tip

Core Tip: Buried bumper syndrome is the situation in which the internal bumper of the gastrostomy tube migrates from the gastric lumen into the gastric wall and thus its internal opening is obstructed by gastric mucosal overgrowth. We performed an analysis of the endoscopic techniques described in the literature for releasing the internal bumper to re-establish the functionality of the tube, in an effort to optimize the criteria of choice based on maximum efficacy and safety.