Volume 2, Issue 11, Pages (November 2017)

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Volume 2, Issue 11, Pages 297-298 (November 2017) Different endoscopic management of 2 cases of acute buried bumper syndrome Ihab I. El Hajj, MD, MPH, James Watkins, MD, Jeffrey Easler, MD, Evan Fogel, MD, Stuart Sherman, MD, Glen A. Lehman, MD VideoGIE Volume 2, Issue 11, Pages 297-298 (November 2017) DOI: 10.1016/j.vgie.2017.07.015 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, CT scan of the abdomen showing the internal mushroom bumper of a gastrostomy tube buried within the anterior abdominal wall with surrounding inflammation (Pre), and CT image after placement of 2 T-fasteners (Post). B, Cope gastrointestinal suture anchor set: 2 spring coil suture anchors (or T-fasteners), an introducer, and a loader (reproduced from the Cook Endoscopy Image Library). C, Endoscopic image showing 2 newly placed T-fasteners on either side of the gastrostomy site, the buried internal mushroom bumper (not shown), and the jejunostomy tube. D, CT scan of the abdomen showing the internal mushroom bumper of a gastrostomy tube (G-tube) buried within the anterior abdominal wall, with surrounding inflammation. E, Representative image of a manually enforced internal mushroom bumper of a new 24F G-tube by 2 added and sutured bars (2 segments of an 18F silicone jejunostomy tube). F, Endoscopic image showing 2 newly placed bars sutured to the internal mushroom bumper. VideoGIE 2017 2, 297-298DOI: (10.1016/j.vgie.2017.07.015) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions