G/GJ tubes: Hypergranulation tissue

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Learn what hypergranulation tissue is, why it forms and how to treat it if you notice it around your child's stoma.

Key points

  • 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; hypergranulation tissue is bumpy or swollen tissue that is wet and bleeds easily.
  • Hypergranulation tissue typically looks pink to dark red, it appears open, shiny or wet, appears puffy and can be painful.
  • Causes of hypergranulation 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.
  • To prevent hypergranulation 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.
  • Hypergranulation tissue can be treated with hypertonic salt water soaks, hydrocortisone cream, antimicrobial foam dressing or silver nitrate.
Last updated: May 22nd 2019