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Colonial Wig Pancreaticojejunostomy
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Frequency of peristomal complications
1Department of Enterostomal Therapy, P.O. Box 801424, University of Virginia Health System, Charlottesville, VA 22908, USA.
Ostomy/Wound Management
|March 14, 2002
Summary
Peristomal skin complications affect 6% of ostomy patients, particularly those with ileal conduits or retracted stomas. Further research is needed to understand causes and improve management for these high-risk groups.
Area of Science:
- Nursing
- Dermatology
- Gastroenterology
Background:
- Peristomal complications are frequently observed by wound, ostomy, and continence (WOC) nurses.
- The precise incidence and etiology of these complications remain largely uncharacterized.
- Limited research exists on issues associated with long-term ostomy appliance use.
Purpose of the Study:
- To determine the frequency of peristomal skin complications in new ostomy patients.
- To identify patient groups at higher risk for developing these complications.
Main Methods:
- A prospective study involving two WOC nurses at a major medical center.
- Assessment of peristomal skin using a standardized complication tool for new ostomy patients at their 2-month postoperative check-up.
- Descriptive statistical analysis of collected data.
Main Results:
- A total of 161 new ostomy patients were evaluated between August 1999 and August 2000.
- Ten patients (6%) experienced peristomal complications.
- Complication rates were highest in patients with ileal conduits (15%) and ileostomies (9%), with retracted stomas being a common factor.
Conclusions:
- Patients with ileal conduits and retracted stomas represent a higher-risk group for peristomal complications.
- These findings suggest a need for more frequent follow-up and tailored pouching strategies for at-risk ostomy patients.
- Further investigation into the causes and prevention of peristomal complications is warranted.
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