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Balloon gastrostomy migration leading to acute pancreatitis

¹ Department of Gastroenterology, St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK
² Department of Radiology, St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK
³ Department of Gastroenterology, St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK

Correspondence to:
Correspondence to:
Professor M Hull
Section of Molecular Gastroenterology, Leeds Institute of Molecular Medicine, St James’s University Hospital, Leeds LS9 7TF, UK; M.A.Hull@leeds.ac.uk

Keywords: balloon gastrostomy; acute pancreatitis

The first 150 words of the full text of this article appear below.

A 57 year old woman with cerebrovascular disease had a 16 Fr Corflo percutaneous endoscopic gastrostomy (Merck Gastroenterology, West Drayton, Middlesex, UK) exchanged for a 20 Fr replacement Corflo balloon gastrostomy (volume 5 ml) as a bridge to eventual insertion of a permanent 20 Fr Corflo-cuBBy "button" gastrostomy. Four weeks later she presented with a seven day history of abdominal pain and vomiting. Initial investigations revealed a serum alanine transaminase level of 54 IU/l (normal range (NR) 0–35), serum alkaline phosphatase level of 491 IU/l (NR 70–300), serum bilirubin level of 7 µmol/l (NR 5–21), and serum amylase level of 703 IU/l (NR <110). An abdominal ultrasound examination demonstrated a dilated common bile duct but no stones were seen in the gallbladder. A subsequent magnetic resonance (MR) cholangiopancreatogram revealed the gastrostomy tube traversing the stomach into the duodenum (fig 1), with the inflated balloon in the second part of . . . [Full text of this article]