Imaging studies showed the tip of the gastrostomy tube with the balloon experienced migrated into the second portion of the duodenum. They diagnosed acute pancreatitis and cholangitis secondary to duodenal obstruction. Her family doctor may have inserted the tube as well deeply. Following the tube was changed, her symptoms improved immediately. Five cases of acute pancreatitis related to gastrostomy tube migration have already been reported. Dr. Imamura experienced an extremely rare complication of gastrostomy tube, and this case demonstrated a malpositioned gastrostomy tube is definitely an iatrogenic reason behind acute pancreatitis and cholangitis.. Acute cholangitis and pancreatitis Percutaneous endoscopic gastrostomy is normally regarded as safe with a minimal rate of significant complications.Discussion In this randomized, controlled trial, catheterization of the subclavian vein was connected with a reduced threat of the mixed outcome of catheter-related bloodstream infection and symptomatic deep-vein thrombosis. This is true in a comparison with femoral-vein catheterization, as others have suggested,8 but in a comparison with jugular-vein catheterization also. The low incidence of catheter-related bloodstream infection in the ICUs in our study is consistent with data from other ICUs.24 Moreover, the distinctions in the incidences of catheter-related bloodstream infection and symptomatic deep-vein thrombosis relating to insertion site are in keeping with the differences within catheter-tip colonization and total deep-vein thrombosis.