Which statement best describes buried bumper syndrome migration?

Which statement best describes buried bumper syndrome migration?

• A. The internal bolster migrates into the small intestine
• B. There is no migration
• C. The internal bolster migrates into the gastric wall, abdominal wall, or subcutaneous tissue
• D. The external bolster tightens and the device is expelled

Answer: (C)

Buried bumper syndrome happens when the internal bumper of a gastrostomy tube becomes embedded in surrounding tissues due to excessive tension or a too-tight tract. As this happens, the internal bumper migrates from the gastric lumen into the gastric wall, the abdominal wall, or even into subcutaneous tissue. This migration into the wall or nearby tissues is the defining feature, which is why describing the internal bumper moving into these areas best captures the phenomenon. Migration into the small intestine isn’t the typical path, there isn’t “no migration” in this condition, and the issue isn’t about the external bumper tightening to expel the device. The key concept is internal migration/erosion into the surrounding tissues.

Buried bumper syndrome happens when the internal bumper of a gastrostomy tube becomes embedded in surrounding tissues due to excessive tension or a too-tight tract. As this happens, the internal bumper migrates from the gastric lumen into the gastric wall, the abdominal wall, or even into subcutaneous tissue. This migration into the wall or nearby tissues is the defining feature, which is why describing the internal bumper moving into these areas best captures the phenomenon. Migration into the small intestine isn’t the typical path, there isn’t “no migration” in this condition, and the issue isn’t about the external bumper tightening to expel the device. The key concept is internal migration/erosion into the surrounding tissues.