Dawn Bromley

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Buried bumper syndrome (BBS) occurs due to the overgrowth of gastric mucosa over the inner bumper of a gastrostomy tube. Various therapeutic approaches have been described for the management of BBS. However, no standardized clinical protocol deals with this complication. The authors describe their experience of dealing with BBS. Case notes of the patients(More)
  • Deepak Kejariwal, Dawn Bromley, Y Miao
  • Nutrition in clinical practice : official…
  • 2009
BACKGROUND The standard method of removing percutaneous endoscopic gastrostomy (PEG) tubes in the United Kingdom is by repeat gastroscopy and retrieval of the internal PEG bumper by the oral route. However, the endoscopic removal method may not always be necessary by use of the "cut and push" method. This involves cutting the tube at skin level and allowing(More)
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