Introduction
PEG tube placements have become a common endoscopic procedure, and a
preferred route for long-term enteral nutrition in patients unable to
tolerate oral intake whilst maintaining gut
integrity.1 They offer several advantages over
nasogastric tube feeds such as better tolerance of feeds, greater
caloric intake and weight gain.2 Insertion of PEG
tubes are known to be a relatively safe procedure with the more common
complications described being wound infection, tube blockage, accidental
removal, and gastric outlet obstruction due to tube
migration.1 Migration of the tube into the duodenum,
resulting in pancreatitis due to the obstruction of the ampulla of
Vater, is an uncommon complication of PEG tubes which is discussed in
this case. This report discusses the importance of radiological
confirmation of tubes to prevent these rare complications.