Guidelines for treating stoma granulomas at the mucocutaneous junction

Dukes, Suzie; Lowther, Claire; Martin, Tessa; Osborne, D. H.

doi:10.12968/gasn.2010.8.1.46674

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…Tais tecidos são ricos em capilares em sua superfície, o que faz com que sangrem com facilidade ao serem manuseados¹. Devido às suas características macroscópicas, permitem o diagnóstico visual pelo pro ssional da saúde, porém, também podem acabar tornando-se geradores de incômodo e ansiedade por parte dos pacientes 6 .…”

Section: Introductionunclassified

“…Tradicionalmente, os granulomas periestomais têm sido tratados a partir do uso de nitrato de prata, produto que se tornou a primeira escolha de tratamento, por favorecer rápida aplicação e ser indolor ao paciente [3][4][5][6] . Caso o tratamento com nitrato de prata não seja efetivo, opta-se pelo uso de corticosteroides tópicos e/ou de nitrogênio líquido (crioterapia).…”

Section: Introductionunclassified

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Cauterização química de granulomas periestomais com ácido tricloroacético a 50%

Paczek

Passberg

2019

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo: Este estudo aborda o tratamento dos granulomas, uma das possíveis complicações das estomias, os quais são caracterizados como lesões focais, cuja formação ocorre devido à presença de agentes agressores aos tecidos a partir do aumento do grau de celularidade e de outros elementos teciduais, gerando incômodo e ansiedade aos pacientes. Tal estudo tem como objetivo descrever os resultados clínicos do tratamento de granulomas periestomais com o uso de ácido tricloroacético (ATA) a 50%. Métodos: Trata-se de estudo de série de casos, vivenciado por profissionais em um centro de referência para tratamento de indivíduos com estomia no município de Porto Alegre, estado do Rio Grande do Sul. Resultados: A amostra do estudo foi constituída de 13 pacientes que realizaram acompanhamento para tratamento de granulomas periestomais com o ATA. A coleta de dados foi realizada durante consultas de enfermagem, a partir da observação e registro fotográfico dos granulomas, com posterior evolução no prontuário individual. Conclusão: Concluiu-se, a partir deste estudo, que o tratamento regular com o ATA resultou em regressão dos granulomas até seu total desaparecimento, podendo tal ácido ser considerado, assim, potencial opção terapêutica; porém, recomenda-se a realização de mais estudos sobre sua utilização na estomaterapia, buscando a utilização de metodologias de pesquisa clínica mais robustas e com controle de vieses.

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Section: Introductionunclassified

Cauterização química de granulomas periestomais com ácido tricloroacético a 50%

Paczek

Passberg

2019

ESTIMA, Braz. J. Enterostomal Ther.

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“…Such tissues are rich in capillaries on their surface, which causes them to bleed easily when handled¹. Due to their macroscopic characteristics, they allow visual diagnosis by the health professional, however, they may also end up becoming generators of nuisance and anxiety on the part of the patients 6 .…”

Section: Introductionmentioning

confidence: 99%

“…with the use of silver nitrate, which has become the first choice of treatment, because it favors rapid application and is painless to the patient [3][4][5][6] . If treatment with silver nitrate is ineffective, topical corticosteroids and/or liquid nitrogen (cryotherapy) is used.…”

Section: Introductionmentioning

confidence: 99%

Chemical cauterization of peristomal granulomas with 50% trichloroacetic acid

Paczek

Passberg

2019

ESTIMA, Braz. J. Enterostomal Ther.

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Objetive: This study deals with the treatment of granulomas, one of the possible complications of the stomies, which are characterized as focal lesions, whose formation occurs due to the presence of aggressive agents to the tissues from the increase of the degree of cellularity and other tissue elements, generating annoyance and anxiety to patients. This study aims to describe the clinical results of the treatment of peristomal granulomas with the use of 50% trichloroacetic acid (TCA). Methods: This is a case series study, carried out by professionals in a referral center for the treatment of individuals with an ostomy in the city of Porto Alegre, state of Rio Grande do Sul. Results: The study sample consisted of 13 patients who underwent follow-up for treatment of peristomal granulomas with TCA. Data collection was performed during nursing consultations, based on the observation and photographic record of the granulomas, with subsequent evolution in the individual charts. Conclusion: It was concluded from this study that the regular treatment with TCA resulted in regression of the granulomas until their total disappearance, being this acid able to be considered, therefore, a potential therapeutic option; however, it is recommended to carry out further studies on its use in stomatherapy, seeking the use of more robust clinical research methodologies and with bias control.

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“…Due to that structure, the two‐phase nature provides an opportunity to design and generate novel PUs with various performances . They are widely demanded in many fields as an adhesive, such as engineering, surgical operations, and so on, owing to excellent biocompatibility, flexibility, and easy processability.…”

Section: Introductionmentioning

confidence: 99%

Enhanced adhesion force based on microphase separation induced by complexation of ferric ions and polyurethane matrix

Xie¹,

Wang³

et al. 2018

J of Applied Polymer Sci

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Waterborne polyurethane elastomer (WPU) has been widely used as a glue, but it still has some drawbacks, including a long cure time and weak adhesive force. In order to overcome these drawbacks, a new composite [PU/ferric ion complexation (Fe/ PU)] with high adhesive strength was successfully prepared using ferric ion (Fe 31 ) as a complexing agent. Fourier transform infrared spectroscopy, differential scanning calorimetry, dynamic mechanical analysis, and tensile testing were used to characterize the chemical structure and mechanical properties of the as-obtained composites. Introduction of the ferric ion induces a certain degree of microphase separation, resulting in better mechanical strength and interfacial adhesion. The mechanical properties of the PU composite with ferric ions are higher than that of pure PU. The adhesive strength of the 25%-Fe/PU composite is 32.46 6 3.1 MPa, exhibiting superior adhesive strength. The tensile strength was enhanced 34%, and the elongation was enhanced 23.6% compared to pure PU. Furthermore, the Fe/PU composite, coordinated with ferric ions, exhibits an enhanced storage modulus and reduced loss coefficient compared to PU. We can foresee that Fe/PU composites will play an important role in the building and engineering areas. V C 2018 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2018, 135, 46069.

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Guidelines for treating stoma granulomas at the mucocutaneous junction

Cited by 9 publications

References 9 publications

Cauterização química de granulomas periestomais com ácido tricloroacético a 50%

Cauterização química de granulomas periestomais com ácido tricloroacético a 50%

Chemical cauterization of peristomal granulomas with 50% trichloroacetic acid

Enhanced adhesion force based on microphase separation induced by complexation of ferric ions and polyurethane matrix

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