A member asked:

My granny's pej tube is leaking around the stoma. causes skin irritation.does that mean her body is rejecting the food? docs don't seem too concerned?

4 doctors weighed in across 2 answers

No: The opening from the stomach/intestine to the skin surface along the pej tube allows stomach and upper intestinal fluid (bile, some acid) to wick to the skin surface. It is this fluid, not the food, that is irritating. Same idea as if you wore wet socks continually - you would get red irritated skin on your feet. You might try a barrier product such as desitin (zinc oxide diaper cream) or aandd ointment to protect the skin.

Answered 11/19/2016

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No: After a percutaneous gastrostomy tube (peg) is placed, a tract develops between the stomach and the abdominal wall. At times, the tract may become larger then the peg. It may need to be replaced with a different size or just a new tube, as the tube may shrink over time. Most pegs need to be replaced every year or so. The surrounding tissue should be protected against stomach acid with a salve.

Answered 12/20/2013

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