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G/GJ tubes: Granulation tissueGG/GJ tubes: Granulation tissueG/GJ tubes: Granulation tissueEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Stomach;Abdomen;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2018-03-26T04:00:00ZTharini Paramananthan, RN, BScN, MScN;Silvana Oppedisano, MN, RN(EC);Holly Norgrove, RN, BScN​Health (A-Z) - ConditionsHealth A-Z<p>Learn what granulation tissue is, why it forms and how to treat it if you notice it around your child's stoma.</p><p>Granulation tissue (also known as hypergranulation tissue) is the new tissue that forms when a wound is healing. It is also the extra tissue that grows around the feeding tube. It is the most common skin issue that occurs in children with <a href="/article?contentid=2536&language=English">G or GJ tubes</a>.</p><h2>Key points</h2><ul><li>Granulation tissue is the new tissue that forms when a wound is healing, and it’s also the extra tissue that forms around the feeding tube.</li><li>Granulation tissue typically looks pink to dark red; it appears open, shiny or wet; bleeds easily; appears puffy; can be painful.</li><li>Causes of granulation tissue include too much movement of the feeding tube, the stoma is wet, too much pressure on the stoma, trauma to the stoma, or an infection.</li><li>To prevent granulation tissue from forming, tape the feeding tube to the skin to prevent movement, make sure your child’s tube is the correct size, keep the stoma clean and dry, and prevent infections.</li><li>Granulation tissue can be treated with hypertonic salt water soaks, hydrocortisone cream, antimicrobial foam dressing, or silver nitrate.</li></ul><h2>Signs of granulation tissue</h2><p>Granulation tissue generally appears as follows. </p><ul><li>Usually pink to dark red tissue, but it does not spread like an infection</li><li>Can appear open, wet looking or shiny</li><li>Bleeds easily</li><li>Appears bubbly and puffy</li><li>Can be painful</li></ul><h2>Causes of granulation tissue</h2><p>Some reasons granulation tissue can form are:</p><ul><li>The feeding tube moves in and out of stoma. This can happen when a <a href="/article?contentid=2908&language=English">low-profile tube</a> is incorrectly sized.</li><li>The stoma is wet or covered with a dressing.</li><li>There is too much pressure on the stoma.</li><li>There has been trauma to the stoma.</li><li>There is an <a href="/article?contentid=2906&language=English">infection</a>.</li></ul><h2>Treatment of granulation tissue</h2><ul><li>Apply <a href="/article?contentid=2907&language=English">hypertonic salt water soaks</a> up to four times a day.</li> <li>Use hydrocortisone cream for a week to help with skin inflammation. Hydrocortisone 0.5% cream is available over the counter. You may be able to find hydrocortisone 1% cream over the counter but usually it is only available by prescription. Hydrocortisone is a short-term treatment so only use it for one week at time.</li><li>Use an antimicrobial foam dressing on the stoma. At SickKids, you can purchase AMD foam dressing from the Specialty Food Shop.</li><li>Use <a href="/article?contentid=2909&language=English">silver nitrate</a> to burn away the extra tissue and promote healing. You will be taught in the clinic first and then you can continue to apply the silver nitrate at home.</li></ul><h2>At SickKids</h2><p>If your child is a SickKids patient, contact the G Tube Resource Nurse with any concerns.</p><h3>G Tube Resource Nurse contact info:</h3><p>Phone: 416-813-7177</p><p>Pager: 416-377-1271</p><p>Email: g.tubenurse@sickkids.ca</p><p>On weekends/afterhours, you may need to come to the Emergency Department for an alternate method of feed/fluids/medication administration.</p>
Sondes G ou GJ : Tissu de granulationSSondes G ou GJ : Tissu de granulationG/GJ tubes: Granulation tissueFrenchGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Small Intestine;StomachDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2018-03-26T04:00:00ZTharini Paramananthan, RN, BScN, MScN;Silvana Oppedisano, MN, RN(EC);Holly Norgrove, RN, BScN​Health (A-Z) - ConditionsHealth A-Z<p>Apprenez ce qu’est le tissu de granulation, la raison pour laquelle il se forme et le traitement à utiliser si vous l’observez autour de la stomie de votre enfant.</p><p>Le tissu de granulation (ou tissu d’hypergranulation) se forme lors de la guérison d’une blessure. Il a également tendance à se former autour de la sonde d’alimentation. C’est le problème le plus courant observé chez les enfants qui portent des sondes G ou GJ.</p><h2>À retenir</h2><ul><li>Pendant la phase de guérison d’une blessure, un nouveau tissu que l’on nomme tissu de granulation se forme; c’est ce phénomène que l’on remarque autour de la sonde d’alimentation.</li><li>Ce tissu prend d’ordinaire une teinte rose à rouge foncé; il a l’aspect brillant ou humide. Il saigne facilement. Il peut être douloureux et se gonfler.</li><li>Ses causes s’apparentent au fait que la sonde bouge trop, qu’elle est mouillée, qu’elle subit trop de pression et que des lésions se forment ou qu’elle est infectée.</li><li>Afin de prévenir la formation de tissus de granulation, mettez bien en place la sonde d’alimentation à l’aide de ruban adhésif pour qu’elle résiste au mouvement, assurez-vous que la sonde est de la bonne taille, gardez la stomie propre et sèche, et prévenez les infections.</li><li>Le tissu de granulation peut être traité avec une solution de trempage hypertonique d’eau et de sel, une crème à base d’hydrocortisone, un pansement mousse antimicrobien et du nitrate d’argent. </li></ul><h2>Symptômes associés au tissu de granulation</h2><p>Ses caractéristiques habituelles sont les suivantes :</p><ul><li>Il présente d’ordinaire une teinte rose à rouge foncé, mais ne se propage pas comme une infection.</li><li>Il peut être d’aspect brillant ou humide.</li><li>Il saigne facilement. </li><li>Il peut se gonfler et avoir l’aspect cotonneux. </li><li>Il peut être douloureux.</li></ul><h2>Causes liées à la formation de tissu de granulation</h2><p>Voici quelques-unes des raisons pour lesquelles il se forme :</p><ul><li>La sonde est libre de se déplacer vers l’intérieur et l’extérieur de la stomie. C’est ce qui se produit en présence d’une <a href="/article?contentid=2908&language=French">sonde discrète</a> dont on n’a pas tenu compte de la taille.</li><li>La stomie est humide ou pansée.</li><li>Elle subit une pression indue.</li><li>Elle a subi des lésions.</li><li>Une <a href="/article?contentid=2906&language=French">infection</a> est présente.</li></ul><h2>Traitement du tissu de granulation</h2><ul><li>Appliquez une <a href="/article?contentid=2907&language=French">solution de trempage hypertonique d’eau et de sel</a> jusqu’à quatre fois par jour.</li><li>Utilisez une crème à base d’hydrocortisone pendant une semaine pour aider à soulager l’inflammation cutanée. Vous pouvez vous procurer une crème à base d’hydrocortisone 0,5 %, offerte en vente libre. La même crème à 1 % pourrait se trouver sur les tablettes, mais elle n’est habituellement disponible que sur ordonnance. L’hydrocortisone est un traitement à court terme dont l’usage n’est recommandé qu’à raison d’une semaine à la fois.</li><li>Utilisez un pansement mousse antimicrobien sur la stomie. À l’hôpital SickKids, vous pouvez faire l’achat d’un pansement mousse AMD dans l’épicerie fine attenante.</li><li>Utilisez le <a href="/article?contentid=2909&language=French">nitrate d’argent</a> pour éliminer les tissus excédentaires et favoriser la guérison. C’est ce qui vous sera premièrement enseigné en clinique et vous pourrez continuer par la suite d’utiliser le nitrate d’argent chez vous.</li></ul><h2>À l’hôpital SickKids</h2><p>Si votre enfant est un patient de SickKids, communiquez avec l’infirmier-ressource pour les sondes G en cas de préoccupations quelconques.</p><h3>Coordonnées de l’infirmier-ressource :</h3><p>Numéro de téléphone : 416 813 7177</p><p>Téléavertisseur : 416 377 1271</p><p>g.tubenurse@sickkids.ca</p><p>Après les heures de travail ou pendant les fins de semaine, il faudra vous présenter au sevice des urgences pour obtenir une méthode de rechange pour l’alimentation et l’administration de médicaments et de liquides.</p>

 

 

G/GJ tubes: Granulation tissue3019.00000000000G/GJ tubes: Granulation tissueG/GJ tubes: Granulation tissueGEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Stomach;Abdomen;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2018-03-26T04:00:00ZTharini Paramananthan, RN, BScN, MScN;Silvana Oppedisano, MN, RN(EC);Holly Norgrove, RN, BScN​Health (A-Z) - ConditionsHealth A-Z<p>Learn what granulation tissue is, why it forms and how to treat it if you notice it around your child's stoma.</p><p>Granulation tissue (also known as hypergranulation tissue) is the new tissue that forms when a wound is healing. It is also the extra tissue that grows around the feeding tube. It is the most common skin issue that occurs in children with <a href="/article?contentid=2536&language=English">G or GJ tubes</a>.</p><h2>How to keep a healthy stoma</h2><p>To keep your child’s stoma healthy, you should:</p><ul><li><a href="/article?contentid=2536&language=English">Wash the stoma</a> daily with soap and water.</li><li>Allow the stoma to be open to the air.</li><li>Secure the tube well.</li> <li>Avoid too much movement of the tube in the tract.</li><li>Address stoma leakage as soon as possible.</li><li>For a <a href="/article?contentid=2908&language=English">low profile tube</a>.</li><ul><li>Make sure your child’s tube is a proper fit.</li><li>Check the volume of the tube’s balloon weekly.<br></li></ul></ul><h2>Key points</h2><ul><li>Granulation tissue is the new tissue that forms when a wound is healing, and it’s also the extra tissue that forms around the feeding tube.</li><li>Granulation tissue typically looks pink to dark red; it appears open, shiny or wet; bleeds easily; appears puffy; can be painful.</li><li>Causes of granulation tissue include too much movement of the feeding tube, the stoma is wet, too much pressure on the stoma, trauma to the stoma, or an infection.</li><li>To prevent granulation tissue from forming, tape the feeding tube to the skin to prevent movement, make sure your child’s tube is the correct size, keep the stoma clean and dry, and prevent infections.</li><li>Granulation tissue can be treated with hypertonic salt water soaks, hydrocortisone cream, antimicrobial foam dressing, or silver nitrate.</li></ul><h2>Signs of granulation tissue</h2><p>Granulation tissue generally appears as follows. </p><ul><li>Usually pink to dark red tissue, but it does not spread like an infection</li><li>Can appear open, wet looking or shiny</li><li>Bleeds easily</li><li>Appears bubbly and puffy</li><li>Can be painful</li></ul><h2>Causes of granulation tissue</h2><p>Some reasons granulation tissue can form are:</p><ul><li>The feeding tube moves in and out of stoma. This can happen when a <a href="/article?contentid=2908&language=English">low-profile tube</a> is incorrectly sized.</li><li>The stoma is wet or covered with a dressing.</li><li>There is too much pressure on the stoma.</li><li>There has been trauma to the stoma.</li><li>There is an <a href="/article?contentid=2906&language=English">infection</a>.</li></ul><h2>Treatment of granulation tissue</h2><ul><li>Apply <a href="/article?contentid=2907&language=English">hypertonic salt water soaks</a> up to four times a day.</li> <li>Use hydrocortisone cream for a week to help with skin inflammation. Hydrocortisone 0.5% cream is available over the counter. You may be able to find hydrocortisone 1% cream over the counter but usually it is only available by prescription. Hydrocortisone is a short-term treatment so only use it for one week at time.</li><li>Use an antimicrobial foam dressing on the stoma. At SickKids, you can purchase AMD foam dressing from the Specialty Food Shop.</li><li>Use <a href="/article?contentid=2909&language=English">silver nitrate</a> to burn away the extra tissue and promote healing. You will be taught in the clinic first and then you can continue to apply the silver nitrate at home.</li></ul><h2>Prevention of granulation tissue</h2><ul><li>Always secure the feeding tube well to avoid friction against the skin.</li><li>Make sure your child’s <a href="/article?contentid=2908&language=English">low profile balloon-type G tube</a> fits properly. If you think your child’s balloon-type G tube is too loose or too tight, contact your G tube team to re-measure the size of the tube. Check the volume of the water in the balloon weekly.</li> <li>Do not put dressings on the stoma unless your medical team advises to do so.</li><li>Keep the stoma open and dry. Do not apply ointments or creams unless your medical team advises to do so.</li><li><a href="/article?contentid=3020&language=English">Manage leaking</a> around the tube.</li><li><a href="/article?contentid=2906&language=English">Prevent infection</a>.</li></ul><h2>At SickKids</h2><p>If your child is a SickKids patient, contact the G Tube Resource Nurse with any concerns.</p><h3>G Tube Resource Nurse contact info:</h3><p>Phone: 416-813-7177</p><p>Pager: 416-377-1271</p><p>Email: g.tubenurse@sickkids.ca</p><p>On weekends/afterhours, you may need to come to the Emergency Department for an alternate method of feed/fluids/medication administration.</p>G/GJ tubes: Granulation tissueFalse

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