Intralesional Cryosurgery for the Treatment of Severe Stoma Hypergranulation Following Percutaneous Endoscopic Gastrostomy

above 50% [2]. The treatment options
specific for hypergranulation at gastrostomy
sites include the application of silver
nitrate, combined antibiotic and steroid
ointment, Lyofoam T® (Mölnlycke Health
Care Limited, Bedfordshire, UK); as a last resort, it may be necessary to consider resiting
the gastrostomy. A Medline search
revealed that cryosurgery has not been
reported as a treatment modality for hypergranulation
tissue at gastrostomy stoma;
in fact there is no description of the use of
cryosurgery for treating hypergranulation
tissue in general.
In this report we describe the case of a
10 year old boy with the rare cardio-facio-
Percutaneous endoscopic gastrostomy
(PEG) insertion is reported to be performed
in 125,000 to 200,000 of cases in
the United States annually [1]. Hypergranulation
tissue is common after PEG
insertion with reported occurrences of
cutaneous syndrome who presented with
a rapid sizable growth of hypergranulation
tissue around the stoma of his PEG. The
hypergranulation tissue was successfully
treated by intralesional cryosurgery where
other treatment modalities had failed.