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{
    "pk": 7675,
    "title": "Early Presentation of Buried Bumper Syndrome",
    "subtitle": null,
    "abstract": "Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal pathology. Complications that follow this common procedure include dislodgement, dysfunction, infection and aspiration. The “Buried Bumper Syndrome” (BBS) is an infrequent and late complication of PEG tubes that can result in tube dysfunction, gastric perforation, bleeding, peritonitis or death. The emergency physician should be aware of historical and exam features that suggest BBS and distinguish it from other more benign PEG-tube related complaints. We report a case of a woman presenting with BBS three weeks after having a PEG tube placed. [West J Emerg Med. 2013;14(5):421-423.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "PEG tube, Buried Bumper, Emergency Medicine"
        },
        {
            "word": "Medicine"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/66m3p5h0",
    "frozenauthors": [
        {
            "first_name": "Walter",
            "middle_name": "",
            "last_name": "Geer",
            "name_suffix": "",
            "institution": "St. Luke's University Hospital",
            "department": "None"
        },
        {
            "first_name": "Rebecca",
            "middle_name": "K.",
            "last_name": "Jeanmonod",
            "name_suffix": "",
            "institution": "St. Luke's Hospital",
            "department": "None"
        }
    ],
    "date_submitted": "2013-01-09T15:14:14Z",
    "date_accepted": "2013-01-09T15:14:14Z",
    "date_published": "2013-09-15T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7675/galley/4500/download/"
        }
    ]
}