Which statement lists a late complication of PEG insertion?

• A. Gastric ulcers within days
• B. Immediate stoma closure
• C. Intestinal obstruction
• D. Buried Bumper Syndrome

Answer: (C)

Late complications after PEG insertion show up weeks to months later. The classic late problem is buried bumper syndrome, where the internal bumper becomes embedded in or erodes through the gastric wall because the external bumper was kept too tight. This pulls the tube against the stomach lining, leading to stoma dysfunction, leakage around the site, pain, infection risk, and feeding difficulties. Because it arises after healing, it isn’t something that would appear within days. Intestinal obstruction isn’t a typical late PEG complication; the main late concerns involve the bumper and the stoma rather than bowel obstruction. Gastric ulcers can occur early due to irritation, and immediate stoma closure is not a complication per se. So, the late complication to recognize is buried bumper syndrome.