What is the most common post-procedural complication after PEG tube placement?

• A. Peristomal infection
• B. Buried bumper syndrome
• C. Gastric ulceration
• D. Colocutaneous fistula

Answer: (A)

In PEG tube placement, infection around the stoma is the most common complication after the procedure. The stoma creates a direct tract from skin to the stomach, exposing the wound to skin flora and enteric bacteria, which readily cause localized infection as the area heals. This typically presents with redness, warmth, tenderness, and sometimes purulent drainage, and is usually managed with diligent local wound care and, if needed, antibiotics that cover skin and enteric organisms. Other issues like buried bumper syndrome occur later and are less common, caused by excessive tension that drives the internal bumper into the gastric wall, or tissue overgrowth; gastric ulceration is less frequent and relates to pressure on the gastric mucosa; colocutaneous fistula is rare and usually tied to unusual anatomy or placement problems. Emphasizing proper stoma care, keeping the area clean and dry, and monitoring for early signs helps minimize the risk of peristomal infection.