Which statement accurately describes Buried Bumper Syndrome?

• A. It occurs immediately after PEG insertion
• B. It improves feeding access
• C. It is prevented by removing PEG immediately
• D. It is a late complication of PEG insertion

Answer: (D)

Buried bumper syndrome occurs when the internal bumper of a PEG becomes pressed into or through the gastric or abdominal wall because the external bumper is held too tightly orPulls the tube, leading to tissue embedding and obstruction of the feeding channel. This is not an immediate event; it typically develops weeks to months after PEG placement, making it a late complication rather than an early one.

Thus, the statement that best describes it is that it is a late complication of PEG insertion. It does not improve feeding access; in fact, it often causes loss or resistance of tube function. Removing the PEG immediately is not a preventive measure—proper prevention focuses on avoiding excessive tension, ensuring the external bumper is positioned correctly with some slack, and regularly checking the tube for signs of pressure or embedding.