Peristomal Medical Adhesive-Related Skin Injury

Abstract

Supplemental Digital Content is Available in the Text.

A Consensus on Stomal, Parastomal, and Peristomal Complications

“…Contact irritant dermatitis was noted by 91% (n = 919) of international surveyed nurses as the most common peristomal skin complication in their practice 28 . Synonymous terms such as skin irritation , 9,28 chemical irritant dermatitis , 11 irritant dermatitis , 10,11 peristomal dermatitis , 3 moisture-associated skin damage , 4 and peristomal moisture-associated skin damage 29,30 are used by some authors to define this condition. Regardless of terminology, the skin erosion and ulceration that result from repeated contact with bodily effluent due to ineffectual appliances lead to pain, negative body image, decreased health-related quality of life and health utility, and increased care costs 31,32 .…”

“…1 There are approximately 46,000 persons living with a stoma in Australia, 2 and this number swells to 100,000 in the UK 3 and 1,000,000 in the US, where 130,000 related surgical procedures are performed annually. 4 Regardless of the type of stoma and its method of management, the postoperative recovery and rehabilitation of a person who has undergone fecal or urinary diversion surgery are very much dependent on their ability to avoid stomal, peristomal, or parastomal skin complications. 5 Peristomal refers to the skin circumferential to the stoma and parastomal refers to the skin at the side of the stoma, but in both instances, it relates to skin covered by the ostomy appliance skin barrier.…”

“…1,3 The prevalence of stomal, parastomal, and peristomal skin complications following stoma surgery varies widely because of study designs, heterogeneous populations, sample sizes, types of stomas studied (ie, enteric or urinary), types of complications under review, and differences in the definitions and terminologies used to describe them. [4][5][6][7][8] The extent of this disparity is evident in the literature, which reports stomal and peristomal complications range between 6% 9 and 80%. 4 Moreover, these complications differ clinically and are subject to the type of stoma created and whether the surgery was elective or emergent, the latter being responsible for a greater number of complications.…”

“…[4][5][6][7][8] The extent of this disparity is evident in the literature, which reports stomal and peristomal complications range between 6% 9 and 80%. 4 Moreover, these complications differ clinically and are subject to the type of stoma created and whether the surgery was elective or emergent, the latter being responsible for a greater number of complications. [10][11][12] It appears that there are higher complication rates among patients with enteric stomas such as ileostomies, particularly loop ileostomies, which Park et al 9 found to have up to 75% complication rates, as compared with 6% among patients with end colostomies.…”

“…Surgery that results in an enteric or urinary stoma is usually performed following a diagnosis of malignancy, inflammatory bowel disease, neurogenic disorders, congenital abnormality, or trauma or to rest a distal surgical anastomosis 1 . There are approximately 46,000 persons living with a stoma in Australia, 2 and this number swells to 100,000 in the UK 3 and 1,000,000 in the US, where 130,000 related surgical procedures are performed annually 4 …”