A research team from Italy assessed the rate of spontaneous tube migration and compared the effects of naso-gastric and naso-intestinal (beyond the ligament of Treitz) feeding in severe acute pancreatitis (SAP). They found that spontaneous distal tube migration is successful in 40 percent of SAP patients, with higher computed tomography severity index predicting intragastric retention; in such cases enteral nutrition by nasogastric tubes seems to provide a pragmatic alternative opportunity with similar outcomes.