ASGE DDW Videos from Around the World | 2023-A NOVEL APPROACH TO TREATING BURIED BUMPER COMPLICATING PEG GASTROPEXY

A NOVEL APPROACH TO TREATING BURIED BUMPER COMPLICATING PEG GASTROPEXY

Video Transcription

Video Summary

The video summarizes a case study of a 62-year-old female patient with a complex anatomy and high surgical risk who underwent endoscopic PEG (percutaneous endoscopic gastrostomy) gastropexy for a large type 2 paroxysophageal hernia. One week post-procedure, the patient developed fever and purulence around the PEG tube site. CT scans showed inflammation and cultures revealed bacterial growth. An endoscopy confirmed the presence of a buried bumper and a PEG-related ulcer. The medical team managed the complication by creating a larger bumper from a JP drain bulb and using endoscopic suturing to repair the ulcer. The patient's condition improved, and she was discharged with appropriate follow-up care. No specific credits were mentioned in the video.

Asset Subtitle

Video Plenary
Authors: Aya Akhras, Lea N. Sayegh, Fnu Deepali, Anmol Bains, Trenton Hinkley, Navtej S. Buttar, Andrew C. Storm

Keywords

case study

62-year-old female patient

endoscopic PEG gastropexy

paroxysophageal hernia

buried bumper