Recurrent acute pancreatitis in pancreas divisum secondary to minor papilla obstruction from a gastrostomy feeding tube

Barthel, James S.; Mangum, David Spencer

doi:10.1016/s0016-5107(91)70875-4

Cited by 12 publications

(8 citation statements)

References 6 publications

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“…Five cases of acute pancreatitis related to gastrostomy tube migration have been reported [8][9][10][11][12] . Foley catheter has been used as PEG-tubes in 4 cases [8][9][10]12] . This catheter is more likely to migrate because it has no external bumper which prevents dislocation of the tube.…”

Section: Discussionmentioning

confidence: 99%

Acute pancreatitis and cholangitis: A complication caused by a migrated gastrostomy tube

Imamura

Konagaya²,

Hashimoto³

et al. 2007

WJG

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Percutaneous endoscopic gastrostomy (PEG) is generally considered safe with a low rate of serious complications. However, dislocation of the PEG-tube into the duodenum can lead to serious complications. An 86-year old Japanese woman with PEG-tube feeding sometimes vomited after her family doctor replaced the PEG-tube without radiologic confirmation. At her hospitalization, she complained of severe tenderness at the epigastric region and the PEG-tube was drawn into the stomach. Imaging studies showed that the tip of PEG-tube with the inflated balloon was migrated into the second portion of the duodenum, suggesting that it might have obstructed the bile and pancreatic ducts, inducing cholangitis and pancreatitis. After the PEG-tube was replaced at the appropriate position, vomiting and abdominal tenderness improved dramatically and laboratory studies became normal immediately. Our case suggests that it is important to secure PEG-tube at the level of skin, especially after replacement.

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Section: Discussionmentioning

confidence: 99%

Acute pancreatitis and cholangitis: A complication caused by a migrated gastrostomy tube

Imamura

Konagaya²,

Hashimoto³

et al. 2007

WJG

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“…This potentially serious complication can take place at any time following PEG placement. In our literature search we encountered eleven case reports describing pancreatitis associated with gastrostomy tube migration [11][12][13][14][15][16][17][18][19][20]. A summary of our literature search is presented in table 1.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Percutaneous Endoscopic Gastrostomy induced Pancreatitis

Hosseina¹,

Stephan²,

Hilzenrat³

2018

Gastroint Hepatol Dig Dis

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“…To the best of our knowledge, a total of 11 cases were reported, four of these cases were reported in the period of 1986 until 2005. [ 6 7 8 9 ] Eight cases were additionally reported in the period of 2005 until 2014. [ 2 5 10 11 12 13 ] Whether this is due to increased prevalence of PEG tube use, increased awareness or even increased reporting of this potential complication is unclear.…”

Section: Discussionmentioning

confidence: 99%

Gastrostomy tube migration complicated with acute pancreatitis: Two case reports with review of literature

Hawatmeh

Al-khateeb

Arqoub

et al. 2016

Int J Crit Illn Inj Sci

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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.

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Recurrent acute pancreatitis in pancreas divisum secondary to minor papilla obstruction from a gastrostomy feeding tube

Cited by 12 publications

References 6 publications

Acute pancreatitis and cholangitis: A complication caused by a migrated gastrostomy tube

Acute pancreatitis and cholangitis: A complication caused by a migrated gastrostomy tube

Recurrent Percutaneous Endoscopic Gastrostomy induced Pancreatitis

Gastrostomy tube migration complicated with acute pancreatitis: Two case reports with review of literature

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