Endoscopic management of buried bumper syndrome in children using a dedicated endoscopic resection device (Flamingo): A single-centre retrospective case series.

JPGN reports Pub Date : 2026-10-26 DOI:10.1002/jpr3.70272

Alexander Adima, Yatin Patel

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Abstract

Buried bumper syndrome (BBS) is a serious complication of percutaneous endoscopic gastrostomy (PEG) tubes. Management of completely buried bumpers is challenging, as surgical approaches carry significant morbidity and endoscopic techniques can be technically demanding. A dedicated endoscopic resection device (Flamingo) is a tool designed to facilitate controlled incision and exposure of the buried bumper, but its use in paediatric patients has not previously been reported. We performed a single-centre retrospective review of paediatric patients with BBS treated using this device. Nine patients aged 2-16 years with a median American Society of Anesthesiologists Grade 3 were identified. Successful bumper removal was achieved in all cases, with a mean procedure time of 46.1 min. One recurrence was successfully retreated, and one readmission occurred due to jejunostomy tube displacement. No procedure-related complications were observed. These findings suggest the device is a safe and effective minimally invasive treatment for paediatric BBS.

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使用专用内镜切除装置对儿童埋地缓冲器综合征的内镜治疗（Flamingo）：单中心回顾性病例系列。

埋藏缓冲器综合征（BBS）是经皮内镜胃造口术（PEG）的严重并发症。完全埋藏的肿块的治疗是具有挑战性的，因为手术入路具有显著的发病率，内窥镜技术可能在技术上要求很高。专用内窥镜切除装置（Flamingo）是一种工具，旨在促进控制切口和暴露埋藏的保险杠，但其在儿科患者中的使用以前没有报道。我们对使用该装置治疗的小儿BBS患者进行了单中心回顾性研究。9例患者年龄2-16岁，美国麻醉医师协会分级中位数为3级。所有病例均成功取出保险杠，平均手术时间为46.1分钟。1例成功复发，1例因空肠造瘘管移位而再次入院。未观察到手术相关并发症。这些发现表明该装置是一种安全有效的儿科BBS微创治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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JPGN reports

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