Which statement about buried bumper syndrome is true?

Which statement about buried bumper syndrome is true?

• A. It presents with external gastrostomy site redness
• B. It is associated with excessive pain at the PEG site
• C. It is caused by high-fiber diets
• D. It only occurs in neonates

Answer: (B)

Buried bumper syndrome happens when the internal bumper of a PEG tube is pressed against the gastric wall so tightly that it migrates into the stomach wall or along the stoma tract. This usually results from an external bolster that is tightened too much, causing disruption of tissue blood flow and eventual embedding of the bumper. The most telltale sign is pronounced pain at the PEG site during feeding or when attempting to infuse feeds. You may also see resistance to flushing, leakage around the tube, or difficulty advancing the tube, reflecting that the internal bumper is no longer freely movable. Redness around the skin can occur with irritation or infection, but it isn’t the defining feature of buried bumper syndrome. The condition is not caused by high-fiber diets and isn’t limited to neonates; it can occur in adults as well.

Buried bumper syndrome happens when the internal bumper of a PEG tube is pressed against the gastric wall so tightly that it migrates into the stomach wall or along the stoma tract. This usually results from an external bolster that is tightened too much, causing disruption of tissue blood flow and eventual embedding of the bumper. The most telltale sign is pronounced pain at the PEG site during feeding or when attempting to infuse feeds. You may also see resistance to flushing, leakage around the tube, or difficulty advancing the tube, reflecting that the internal bumper is no longer freely movable. Redness around the skin can occur with irritation or infection, but it isn’t the defining feature of buried bumper syndrome. The condition is not caused by high-fiber diets and isn’t limited to neonates; it can occur in adults as well.