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Skin around the stoma

Peristomal skin complications

Unlike skin wounds, where the aim of the treatment is usually the closure of the wound, stomas are surgical openings on the surface of your abdomen intended to remain open to drain the stoma effluent. Complications of the peristomal skin are common and require special treatment.[1]

Nearly half of patients with permanent stomas are affected by peristomal skin disorders. Several reasons, such as chemical irritation, mechanical injury or infections, can contribute to the development of peristomal skin disorders. However, patients are often unaware of it: Up to 56 percent of those with severe skin disorders report that they do not suffer from any skin disorder according to a Danish study.[1]

[1] Herlufsen P, Olsen AG, Carlsen B, Nybaek H, Karlsmark T, Laursen TN, Jemec GB. Study of peristomal skin disorders in patients with permanent stomas. Br J Nurs. 2006 Sep 14-27;15(16):854-62. doi: 10.12968/bjon.2006.15.16.21848. PMID: 17108855.

[2] Anazawa S, OhmuraY, Yoshikawa R (2001) Physiological actions and skin protecting properties of skin barriers. In Anazawa S, OhmuraY, Yoshikawa R, eds. Skin Barriers for Stoma Care – From Basic Theory to Clinical Application. 1st edn. Alcare Co. Ltd, Tokyo: 49–68

[3] Gray M, Colwell JC, Doughty D, Goldberg M, Hoeflok J, Manson A, McNichol L, Rao S. Peristomal moisture-associated skin damage in adults with fecal ostomies: a comprehensive review and consensus. J Wound Ostomy Continence Nurs. 2013 Jul-Aug;40(4):389-99. doi: 10.1097/WON.0b013e3182944340. PMID: 23652738.