What is the incidence range of buried bumper syndrome?

What is the incidence range of buried bumper syndrome?

• A. It ranges from 1% to 5%
• B. It ranges from 0.3% to 2.4% of patients
• C. It ranges from 5% to 10%
• D. It ranges from 10% to 20%

Answer: (B)

Buried bumper syndrome happens when the external PEG bumper compresses the tract too tightly, leading to ischemia and eventual migration or erosion of the internal bumper into the gastric wall. Across studies, the incidence is relatively low, typically reported as about 0.3% to 2.4% of patients with a PEG tube. This range best matches the data from systematic reviews and large series, making it the most accurate reflection of how often this complication occurs in practice. Higher ranges (like 5–10% or 10–20%) overstate the risk and aren’t as consistently supported by the literature.

Buried bumper syndrome happens when the external PEG bumper compresses the tract too tightly, leading to ischemia and eventual migration or erosion of the internal bumper into the gastric wall. Across studies, the incidence is relatively low, typically reported as about 0.3% to 2.4% of patients with a PEG tube. This range best matches the data from systematic reviews and large series, making it the most accurate reflection of how often this complication occurs in practice. Higher ranges (like 5–10% or 10–20%) overstate the risk and aren’t as consistently supported by the literature.