Which statement about PEG tube complications is true?

Which statement about PEG tube complications is true?

• A. Buried bumper syndrome is the most common complication.
• B. Peristomal infection is the most common complication.
• C. Pneumothorax is most common.
• D. Gastric ulceration is most common.

Answer: (B)

The most common complication seen with PEG tube placement is infection around the stoma. When the skin and gastric tract are brought together to form the feeding site, a temporary breach in the protective barrier allows skin and gut bacteria to access the wound. This can lead to localized cellulitis or peristomal infection, especially in the first days to weeks after insertion, and is more likely with factors such as poor nutrition, diabetes, repetitive tube manipulation, leakage at the site, or inadequate wound care. Prevention centers on meticulous sterile technique during placement, appropriate peri-procedural antibiotics as indicated, and diligent post-procedure stoma care to keep the area clean and dry. While there are other potential issues, such as buried bumper syndrome, pneumothorax, or gastric ulceration, these occur less frequently than a peristomal infection.

The most common complication seen with PEG tube placement is infection around the stoma. When the skin and gastric tract are brought together to form the feeding site, a temporary breach in the protective barrier allows skin and gut bacteria to access the wound. This can lead to localized cellulitis or peristomal infection, especially in the first days to weeks after insertion, and is more likely with factors such as poor nutrition, diabetes, repetitive tube manipulation, leakage at the site, or inadequate wound care. Prevention centers on meticulous sterile technique during placement, appropriate peri-procedural antibiotics as indicated, and diligent post-procedure stoma care to keep the area clean and dry. While there are other potential issues, such as buried bumper syndrome, pneumothorax, or gastric ulceration, these occur less frequently than a peristomal infection.