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Risk factors for peristomal skin disorders associated with temporary ileostomy construction

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Abstract

Purpose

Skin disorders are the most common stoma-related complications after temporary diverting loop ileostomy with proctectomy. The aim of the present study was to investigate risk factors for skin disorders associated with temporary ileostomy construction.

Methods

A total of 185 consecutive patients who underwent curative proctectomy with temporary diverting loop ileostomy for rectal malignancies at a single comprehensive cancer center between 2013 and 2018 were collected and analyzed.

Results

The most frequent stoma-related complications were skin disorders (n = 62, 33.5%), followed by mucocutaneous separation (n = 38, 20.5%) and high-output stoma (n = 34, 18.4%). Patients with skin disorders had a higher median body mass index (BMI; 22.4 vs. 21.3 kg/m2, P = 0.002) and lower stoma height (16 vs. 20 mm, P < 0.001) than those without skin disorders. According to a multivariable logistic regression analysis, independent predictors of skin disorders included overweight (median BMI ≥ 25 kg/m2 [odds ratio = 3.6, 95% confidence interval: 1.5–8.6], P = 0.004) and lower stomal height (median stoma height < 20 mm [odds ratio = 3.2, 95% confidence interval: 1.6–6.3], P < 0.001).

Conclusion

Overweight and lower stoma height are correlated with the presence of skin disorders. Construction of a well-elevated stoma can reduce skin disorders associated with temporary ileostomy construction.

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Acknowledgements

We sincerely thank the WOC nurses who provided patient care: Hitomi Kojima, Terumi Sasaki, and Mayumi Agata (Department of Nursing, the Aichi Cancer Center Hospital, Aichi, Japan). We also thank PROEDIT JAPAN for proofreading our draft.

Funding

The authors received no specific funding for this work.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa, Nagoya, Aichi, 464-8681, Japan

    Shingo Maeda, Akira Ouchi, Koji Komori, Takashi Kinoshita, Taihei Oshiro, Seiji Ito, Tetsuya Abe & Yasuhiro Shimizu

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  1. Shingo Maeda
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  2. Akira Ouchi
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  3. Koji Komori
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  4. Takashi Kinoshita
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  6. Seiji Ito
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  7. Tetsuya Abe
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  8. Yasuhiro Shimizu
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Correspondence to Akira Ouchi.

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Maeda, S., Ouchi, A., Komori, K. et al. Risk factors for peristomal skin disorders associated with temporary ileostomy construction. Surg Today 51, 1152–1157 (2021). https://doi.org/10.1007/s00595-020-02209-x

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  • DOI: https://doi.org/10.1007/s00595-020-02209-x

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