Sutures of the mucocutaneous junction are notorious for causing which issue?

• A. Stomal stenosis
• B. Tissue overgrowth
• C. Causing irritation, skin irritation
• D. Reduced infection risk

Answer: (C)

Irritation of the peristomal skin is the key issue here. Sutures at the mucocutaneous junction can act as a foreign body and create ongoing friction as the stoma moves and the skin stays moist from output. This combination of mechanical rubbing and moisture around the suture line promotes local dermatitis and skin breakdown around the stoma. Stomal narrowing, tissue overgrowth, or reduced infection risk aren’t the typical direct consequences of sutures in this area. Stomal stenosis comes from scar tissue narrowing the opening, tissue overgrowth is a separate tissue response, and sutures don’t inherently lower infection risk (they can even introduce a foreign-body nidus).