Risk factors for peristomal skin disorders associated with temporary ileostomy construction

Surgery Today ◽  
2021 ◽  
Author(s):  
Shingo Maeda ◽  
Akira Ouchi ◽  
Koji Komori ◽  
Takashi Kinoshita ◽  
Taihei Oshiro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Skin Disorders ◽  
Temporary Ileostomy ◽  
Peristomal Skin

scholarly journals The Presurgical Controlling Nutritional Status (CONUT) Score is Independently Associated with Severe Peristomal Skin Disorders: A Single-center Retrospective Cohort Study

2021 ◽  
Author(s):  
Takuya Shiraishi ◽  
Hiroomi Ogawa ◽  
Chika Katayama ◽  
Katsuya Osone ◽  
Takuhisa Okada ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Nutritional Status ◽  
Laparoscopic Approach ◽  
Skin Disorders ◽  
Nutritional Interventions ◽  
Stoma Creation ◽  
Peristomal Skin ◽  
The Impact ◽  
Conut Score

Abstract Purpose: While nutritional interventions may potentially lower the risk of peristomal skin disorders (PSDs) and their exacerbation, no prior studies have evaluated the relationship between PSDs and nutritional status using the Controlling Nutritional Status (CONUT) score. Therefore, the purpose of this study was to assess the impact of preoperative nutritional status on stoma development, and determine risk factors for postoperative PSDs and their increased severity. Methods: A retrospective analysis was performed in 116 consecutive patients with rectal cancer who underwent radical surgery with stoma creation, including ileostomy and colostomy. Results: PSDs were diagnosed in 32 patients (27.6%); 10 (8.7%) cases were defined as severe based on the ABCD-stoma score. A multivariate analysis indicated that the laparoscopic approach (odds ratio [OR], 3.221; 95% confidence interval [CI], 1.001–10.362; P = 0.050) and ileostomy (OR, 3.394; 95% CI, 1.349–8.535; P = 0.009) were both independent risk factors for PSD. In a separate multivariate analysis for severe PSD, the only independent risk factor was the CONUT score (OR, 11.298; 95% CI, 1.382–92.373; P = 0.024). Conclusion: Severe PSDs are associated with preoperative nutritional disorders, as determined via the CONUT score. Furthermore, PSDs may potentially increase in severity, regardless of stoma type.

Risk factors for the incidence and severity of peristomal skin disorders defined using two scoring systems

Surgery Today ◽  
2019 ◽  
Vol 50 (3) ◽  
pp. 284-291
Author(s):  
Takuya Shiraishi ◽  
Yuji Nishizawa ◽  
Mifumi Nakajima ◽  
Ryoko Kado ◽  
Koji Ikeda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Scoring Systems ◽  
Skin Disorders ◽  
Peristomal Skin

scholarly journals The presurgical controlling nutritional status (CONUT) score is independently associated with severe peristomal skin disorders: a single-center retrospective cohort study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Takuya Shiraishi ◽  
Hiroomi Ogawa ◽  
Chika Katayama ◽  
Katsuya Osone ◽  
Takuhisa Okada ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Nutritional Status ◽  
Multivariable Logistic Regression Analysis ◽  
Skin Disorders ◽  
Nutritional Interventions ◽  
Multivariable Logistic Regression ◽  
Peristomal Skin ◽  
The Impact ◽  
Conut Score

AbstractWhile nutritional interventions may potentially lower the risk of peristomal skin disorders (PSDs) and their exacerbation, no previous studies have evaluated the relationship between PSDs and nutritional status using the Controlling Nutritional Status (CONUT) score. The purpose of this study was to assess the impact of preoperative nutritional status on stoma health, and determine risk factors for postoperative PSDs, including severe PSDs. A retrospective analysis was performed of 116 consecutive patients with rectal cancer who underwent radical surgery with ileostomy or colostomy creation. PSDs were diagnosed in 32 patients (27.6%); including 10 cases (8.7%) that were defined as severe based on the ABCD-stoma score. Multivariable logistic regression showed that smoking (odds ratio [OR] 3.451, 95% confidence interval [CI] 1.240–9.607, p = 0.018) and ileostomy (OR 3.287, 95% CI 1.278–8.458, p = 0.014) were independent risk factors for PSDs. A separate multivariable logistic regression analysis of risk factors for severe PSDs, found that the only independent risk factor was the CONUT score (OR 10.040, 95% CI 1.191–84.651, p = 0.034). Severe PSDs are associated with preoperative nutritional disorders, as determined by the CONUT score. Furthermore, nutritional disorders may increase the severity of PSDs, regardless of the stoma type.

scholarly journals Risk factors for parastomal hernia of loop stoma and relationships with other stoma complications in laparoscopic surgery era

2020 ◽  
Author(s):  
Takuya Shiraishi ◽  
Yuji Nishizawa ◽  
Koji Ikeda ◽  
Yuichiro Tsukada ◽  
Takeshi Sasaki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Parastomal Hernia ◽  
Loop Ileostomy ◽  
Laparoscopic Approach ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
Skin Disorders ◽  
Hernia Formation ◽  
Peristomal Skin

Abstract Background: Laparoscopic approach is now a widespread technique used worldwide, but there are few recent studies on risk factors for parastomal hernia. Therefore, this study was performed to analyze the incidence of parastomal hernia in laparoscopic and open surgery in which a loop stoma was created and was intended to be temporary, and to determine risk factors for parastomal hernia formation. Associations between parastomal hernia and other stoma-related complications were also analyzed. Methods: A retrospective analysis of patient and surgical characteristics was performed in 153 consecutive patients who underwent a temporary diverting loop ileostomy or colostomy after surgery related to malignant diseases at our hospital from January to December 2016. Results: Parastomal hernia developed in 77 cases (50.3%), including 39 (25.5%) diagnosed by physical examination and 38 (24.8%) detected by CT alone. On multivariate analysis, a stoma not passing through the middle of the rectus abdominis muscle was the only independent risk factor for parastomal hernia formation (p=0.005) during the median follow-up of 245.0 days. When we analyzed the factors that were associated with a stoma not passing through the middle of the rectus abdominis muscle, the only independent factor associated with this misplacement of the stoma was a laparoscopic approach (p=0.012). An analysis of stoma-related complications showed that peristomal skin disorders were significantly associated with parastomal hernia (p=0.049). Conclusions: This study showed that a stoma that is not formed through the middle of the rectus abdominis muscle is a risk factor for parastomal hernia formation, and that a laparoscopic approach is associated with this risk factor. Moreover, a parastomal hernia is significantly associated with peristomal skin disorders.

scholarly journals Risk factors for parastomal hernia of loop stoma and relationships with other stoma complications in laparoscopic surgery era

2020 ◽  
Author(s):  
Takuya Shiraishi ◽  
Yuji Nishizawa ◽  
Koji Ikeda ◽  
Yuichiro Tsukada ◽  
Takeshi Sasaki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Parastomal Hernia ◽  
Loop Ileostomy ◽  
Laparoscopic Approach ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
Skin Disorders ◽  
Hernia Formation ◽  
Peristomal Skin

Abstract Background: Laparoscopic approach is now a widespread technique used worldwide, but there are few recent studies on risk factors for parastomal hernia. Therefore, this study was performed to analyze the incidence of parastomal hernia in laparoscopic and open surgery in which a loop stoma was created and was intended to be temporary, and to determine risk factors for parastomal hernia formation. Associations between parastomal hernia and other stoma-related complications were also analyzed.Methods: A retrospective analysis of patient and surgical characteristics was performed in 153 consecutive patients who underwent a temporary diverting loop ileostomy or colostomy after surgery related to malignant diseases at our hospital from January to December 2016.Results: Parastomal hernia developed in 77 cases (50.3%), including 39 (25.5%) diagnosed by physical examination and 38 (24.8%) detected by CT alone. On multivariate analysis, a stoma not passing through the middle of the rectus abdominis muscle was the only independent risk factor for parastomal hernia formation (p=0.005) during the median follow-up of 245.0 days. When we analyzed the factors that were associated with a stoma not passing through the middle of the rectus abdominis muscle, the only independent factor associated with this misplacement of the stoma was a laparoscopic approach (p=0.012). An analysis of stoma-related complications showed that peristomal skin disorders were significantly associated with parastomal hernia (p=0.049).Conclusions: This study showed that a stoma that is not formed through the middle of the rectus abdominis muscle is a risk factor for parastomal hernia formation, and that a laparoscopic approach is associated with this risk factor. Moreover, parastomal hernia is significantly associated with peristomal skin disorders.

Risk factors for permanent stoma after rectal cancer surgery with temporary ileostomy

Surgery ◽  
2016 ◽  
Vol 159 (3) ◽  
pp. 721-727 ◽  
Author(s):  
Min Jung Kim ◽  
Yong Sok Kim ◽  
Sung Chan Park ◽  
Dae Kyung Sohn ◽  
Dae Yong Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Permanent Stoma ◽  
Temporary Ileostomy

Factors predictive of optimal peristomal skin status in patients with an ostomy: a secondary analysis

2021 ◽  
Vol 26 (Sup12) ◽  
pp. S24-S34
Author(s):  
Eugenia Rodriguez González ◽  
Carmen del Pino Zurita ◽  
Gemma Arrontes Caballero ◽  
Araceli Hoyo Rodríguez ◽  
Eugenia Zapatero Rodríguez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Multivariate Analysis ◽  
Multicentre Study ◽  
Secondary Analysis ◽  
Cross Sectional ◽  
Skin Changes ◽  
Peristomal Skin ◽  
Stoma Site Marking

Peristomal skin problems are common in ostomy patients and are connected to decreased quality of life and patient independence, as well as increased treatment costs. This study analysed the factors related to peristomal skin changes in order to better define the clinical profile of patients with optimal peristomal skin status. Secondary analysis of data from a nationwide, cross-sectional, retrospective, multicentre study performed in Spain (Uses and Attitudes in Ostomy) ( Bueno Cruz et al, 2021 ) evaluated clinical data, including demographics, preoperative stoma site marking, type of ostomy, device used, frequency of leakage and scores from the Ostomy Skin Tool (OST) and quality of life (QoL) questionnaires. Risk factors for peristomal skin changes were analysed using multivariate analysis, and a predictive nomogram to anticipate optimal peristomal skin status (defined here as discolouration (D), erosion (E), and tissue overgrowth (T) (DET) score of 0) was developed. Some 871 patients with an ostomy using different commercial devices in Spain were evaluated. Multivariate analysis to predict optimal peristomal skin status revealed leakage frequency, patient age, type of ostomy, preoperative siting and type of baseplate used were independent predictors of peristomal skin status. Optimal peristomal skin care should be a treatment goal for nurse specialists in stomal therapy, and its individual influencing variables should be taken into account by nurses specialising in ostomy care.

THE CAUSES OF PERISTOMAL SKIN DISORDERS

2007 ◽  
Vol 34 (Supplement) ◽  
pp. S73 ◽  
Author(s):  
Per Herlufsen ◽  
Anne Grete Olsen ◽  
Bente Carlsen ◽  
Hanne Nybaek ◽  
Gregor B. E. Jemec ◽  
...  
Keyword(s):  
Skin Disorders ◽  
Peristomal Skin

Dermatological disorders

2013 ◽  
pp. 454-462
Author(s):  
Ursula T. Ferriday ◽  
I. S. Foulds
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Ultraviolet Light ◽  
Genetic Predisposition ◽  
Risk Groups ◽  
Cutting Fluids ◽  
Skin Disorders ◽  
Dermatological Condition ◽  
Dermatological Disorders ◽  
Mechanical Shearing

The skin acts as a protective barrier against a number of hazards within our environment. These hazards can be: chemical, e.g. acids, alkalis, solvents, cutting, or soluble oils; biological, e.g. bacteria, plant allergens, or raw food; or physical, e.g. ultraviolet light, or mechanical shearing forces. In some situations the defensive properties of the skin are exceeded resulting in cuts, grazes, inflammation, ulceration, infection, and occasionally malignant change. The risk factors for breakdown of skin defences can be categorized as: (i) occupational—common at-risk groups are cleaners, food handlers, hairdressers, and workers in contact with cutting fluids; and (ii) non-occupational—where genetic predisposition to skin disorders is an important factor. Workers with non-occupational skin disorders can suffer exacerbations of their underlying dermatological condition in workplaces where the environment is hot and humid or extremely cold or dry.

Sign in / Sign up

Export Citation Format

Share Document