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.