Brief Answer: She needs to undergo further examinations . Detailed Answer: Hello, Thank you for using HCM. Dear , I understand your concern , and i will try to clarify what s happening. PEG tube is not placed in her small intestine, it is passed into the stomach through the abdominal wall, to provide a means of feeding when oral intake is not adequate. The fact that from the PEG tube comes out bile, means that there is something which does not allow it to go in the natural route, from the bile duct (which comes from liver and pancreas) to duodenum (which comes directly after the stomach). So, due to any obstacle ,mechanical one, or due to the lack of adequate bowel movements, the bile turns back to the stomach and goes out from the PEG tube. I would suggest you to see a gastroenterologist to advice you further examinations, such as abdominal ecography and fibrogastroscopy . A series of blood exams are also needed , such as bilirubin levels in blood and inflammation indeces. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda