WOUND & SKIN CARE: G tube care: Managing hypergranulation tissue

August 2005 
Volume 35  Number 8
Pages 24 - 24
  PDF Version Available!


DESPITE METICULOUS CARE, a gastrostomy tube (G tube) used to deliver enteral feeding and medication can trigger hypergranulation tissue growth at the insertion site. Apparently the product of inflamed epithelial tissue, hypergranulation may be the body's reaction to the G tube, a foreign body.

Red, moist, and fragile, hypergranulation tissue bleeds easily and may be painful. Besides increasing the patient's risk of infection, the tissue inhibits the migration of epithelial cells and normal wound healing. The clear or yellow drainage produced by hypergranulation tissue also complicates wound healing.

Although the exact etiology isn't known, these factors may encourage formation of hypergranulation tissue:

* moisture from drainage and bleeding, which increases the risk of infection and peristomal skin breakdown * friction from mobility if the tube isn't anchored adequately. Check for correct placement by gently pulling the tube ...

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