Shiraishi et al evaluated patients with a stoma for risk factors associated with a peristomal skin disorder. These can help to identify a patient who may benefit from more aggressive management. The authors are from National Cancer Center Hospital East in Kashiwa, Japan.
Patient selection: stoma (loop ileostomy or colostomy)
Risk factors for severe peristomal skin disorders:
(1) parastomal hernia
(2) adjuvant chemotherapy
Other factors:
(1) larger base area of the stoma in square centimeters
Types of peristomal skin disorders include:
(1) erythema and/or erosion
(2) blister or bulla formation
(3) pigmentation
(4) ulceration
(5) pustule
(6) tissue overgrowth
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