What is the main concern when granulation tissue forms at a PEG site?

What is the main concern when granulation tissue forms at a PEG site?

• A. It can cause more moisture accumulation under the external bolster, increasing the risk for skin breakdown
• B. It improves the seal around the tube
• C. It reduces drainage
• D. It accelerates healing

Answer: (A)

Moisture control at the PEG site is the key concern. Granulation tissue around the stoma can form a moist pocket under the external bolster, trapping drainage and skin secretions against the peristomal skin. That persistent moisture can macerate the skin and lead to irritation or breakdown around the tube. The tissue itself is part of healing, but when it sits under the bolster it creates an environment that increases skin damage risk rather than improving the seal, reducing drainage, or speeding healing. Management focuses on keeping the area dry, ensuring the bolster isn’t applying excessive pressure, and addressing any excess tissue as needed.

Moisture control at the PEG site is the key concern. Granulation tissue around the stoma can form a moist pocket under the external bolster, trapping drainage and skin secretions against the peristomal skin. That persistent moisture can macerate the skin and lead to irritation or breakdown around the tube. The tissue itself is part of healing, but when it sits under the bolster it creates an environment that increases skin damage risk rather than improving the seal, reducing drainage, or speeding healing. Management focuses on keeping the area dry, ensuring the bolster isn’t applying excessive pressure, and addressing any excess tissue as needed.