Endoscopic management of buried bumper syndrome in children using a dedicated endoscopic resection device (Flamingo): A single‐centre retrospective case series
- 1Department of Paediatric Surgery Royal Aberdeen Children's Hospital Aberdeen UK
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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BibTeX
@article{adima2026endoscopic,
title = {{Endoscopic management of buried bumper syndrome in children using a dedicated endoscopic resection device (Flamingo): A single‐centre retrospective case series}},
author = {Alexander Adima and Yatin Patel},
journal = {JPGN Reports},
year = {2026},
month = oct,
doi = {10.1002/jpr3.70272},
url = {https://doi.org/10.1002/jpr3.70272},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Endoscopic management of buried bumper syndrome in children using a dedicated endoscopic resection device (Flamingo): A single‐centre retrospective case series
AU - Alexander Adima
AU - Yatin Patel
PY - 2026
DA - 2026/10/26
JO - JPGN Reports
DO - 10.1002/jpr3.70272
UR - https://doi.org/10.1002/jpr3.70272
AB - 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.
SN - 2691-171X
ER -