title: Gastrostomy tube migration complicated with acute pancreatitis: Two case reports with review of literature.
abstract: The percutaneous endoscopic gastrostomy (PEG) tube is an important method of providing enteral nutrition to patients with swallowing disorders and those who need long-term enteral nutritional support. The association between PEG tube migration and acute pancreatitis is rare and was previously described in the literature. To the best of our knowledge, only 11 cases have been reported in the literature. In this article, we are describing two cases of acute pancreatitis secondary to PEG tube balloon migration to the duodenum. These two case reports exemplify that PEG tube migration to the duodenum is not uncommon, and it may lead to disturbance of the biliary flow, obstruction of the ampulla of vater, and acute pancreatitis.
authors.affiliation: Department of Internal Medicine, St. Michael's Medical Center, Newark, NJ 07102, USA.
authors.forename: Amer
authors.initials: A
authors.lastname: Hawatmeh
authors.affiliation: Department of Internal Medicine, St. Michael's Medical Center, Newark, NJ 07102, USA.
authors.forename: Anas
authors.initials: A
authors.lastname: Alkhateeb
authors.affiliation: Department of Internal Medicine, St. Michael's Medical Center, Newark, NJ 07102, USA.
authors.forename: Ahmad Abu
authors.initials: AA
authors.lastname: Arqoub
authors.affiliation: Department of Internal Medicine, St. Michael's Medical Center, Newark, NJ 07102, USA.
authors.forename: Khalid
authors.initials: K
authors.lastname: Jumean
authors.affiliation: Department of Internal Medicine, Hematology and Oncology, St. Michael's Medical Center, Newark, NJ 07102, USA.
authors.forename: Hamid
authors.initials: H
authors.lastname: Shaaban
keywords: Gastrostomy; pancreatitis; percutaneous endoscopic gastrostomy tube; percutaneous endoscopic gastrostomy tube complications