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Related Concept Videos

Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

807
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
807
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

404
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
404
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

419
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
419
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

165
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
165

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Related Experiment Video

Updated: Nov 10, 2025

Establishment of a Mouse Severe Acute Pancreatitis Model using Retrograde Injection of Sodium Taurocholate into the Biliopancreatic Duct
07:10

Establishment of a Mouse Severe Acute Pancreatitis Model using Retrograde Injection of Sodium Taurocholate into the Biliopancreatic Duct

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Migrated PEG balloon causing acute pancreatitis.

Muhammad Omar Saeed1, Thomas Fleck2, Ashish Awasthi3

  • 1Gastroenterology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK muhammadomar.saeed@uhcw.nhs.uk.

BMJ Case Reports
|April 2, 2021
PubMed
Summary
This summary is machine-generated.

A rare complication of balloon gastrostomy tubes causing acute pancreatitis is presented. Proper placement and fixation are crucial to prevent tube migration and associated serious gastrointestinal issues.

Keywords:
nutritionnutritional supportpancreatitis

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Related Experiment Videos

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Area of Science:

  • Gastroenterology
  • Medical Devices
  • Patient Safety

Background:

  • Percutaneous endoscopic gastrostomy (PEG) tubes are vital for nutritional support in patients with swallowing difficulties.
  • Replacing PEG tubes often involves using balloon gastrostomy tubes through existing tracts without repeat endoscopy.
  • Potential complications, though rare, necessitate awareness and preventative strategies.

Observation:

  • A 67-year-old female experienced severe abdominal pain and vomiting due to inward displacement of her balloon gastrostomy tube.
  • Imaging revealed the inflated balloon abutting the major and minor ampullae, leading to a diagnosis of acute pancreatitis.
  • The patient reported a history of a loose external fixation plate, allowing the tube to migrate.

Findings:

  • Gastrostomy tube migration, particularly with balloon inflation near the ampullae, can precipitate acute pancreatitis.
  • Loose external fixation is a risk factor for inadvertent tube displacement.
  • Prompt diagnosis and management, including balloon deflation and repositioning, led to symptom resolution.

Implications:

  • Highlights a rare but serious complication of balloon gastrostomy tube use.
  • Emphasizes the importance of secure external fixation and regular monitoring of gastrostomy tubes.
  • Underscores the need for vigilance in patients with feeding tubes presenting with abdominal pain.