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Balloon gastrostomy migration leading to acute pancreatitis
  1. J Periselneris1,
  2. R England2,
  3. M Hull3
  1. 1Department of Gastroenterology, St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK
  2. 2Department of Radiology, St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK
  3. 3Department of Gastroenterology, St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK
  1. 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{at}leeds.ac.uk

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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 …

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