Conclusion
This is the first published case of pancreatitis secondary to PEG tube migration in Australian literature. Although this is an uncommon complication of PEG tubes, obstructive pancreatitis due to PEG tube migration have previously been described, and therefore should be considered as a potential cause in a patient with a PEG tube. This also raises the question of whether there is a role for radiological confirmation of feeding gastric tubes prior to usage to help prevent such complications. We know that PEG tubes generally have a balloon or bumper at the tip to prevent outward migration, and an external bumper to reduce the risk of inward migration. Other considerations include the use of a correct tube of appropriate length (perhaps with external markings to help guide the depth of insertion), and routinely checking that the external bumper is fit snug to the patient to minimise migration.5