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Volume 20
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10.3390/ijerph20010079
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Review

Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective

by
Floriana D’Ambrosio
1,
Ciro Pappalardo
1,
Anna Scardigno
1,
Ada Maida
1,
Roberto Ricciardi
2 and
Giovanna Elisa Calabrò
1,2,*
1
Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
2
VIHTALI (Value in Health Technology and Academy for Leadership & Innovation), Spin-Off of Università Cattolica del Sacro Cuore, 00168 Rome, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(1), 79; https://doi.org/10.3390/ijerph20010079
Submission received: 29 October 2022 / Revised: 16 December 2022 / Accepted: 17 December 2022 / Published: 21 December 2022
(This article belongs to the Special Issue Skin Health: Feature Review Papers)
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Abstract

Background: Peristomal skin complications (PSCs) are the most common skin problems seen after ostomy surgery. They have a considerable impact on a patient’s quality of life and contribute to a higher cost of care. Methods. A systematic review was conducted, querying three databases. The analysis was performed on international studies focused on the clinical-epidemiological burden of PSCs in adult patients with ileostomy/colostomy. Results: Overall, 23 studies were considered. The main diseases associated with ostomy surgery were rectal, colon and gynecological cancers, inflammatory bowel diseases, diverticulitis, bowel obstruction and intestinal perforation. Erythema, papules, skin erosions, ulcers and vesicles were the most common PSCs for patients with an ostomy (or stoma). A PSCs incidence ranging from 36.3% to 73.4% was described. Skin complications increased length of stay (LOS) and rates of readmission within 120 days of surgery. Conclusions: PSCs data are still limited. A knowledge of their burden is essential to support health personnel and decision-makers in identifying the most appropriate responses to patients’ needs. Proper management of these complications plays a fundamental role in improving the patient’s quality of life. A multidisciplinary approach, as well as increased patient education and their empowerment, are priority measures to be implemented to foster a value-based healthcare.
Keywords: peristomal skin complications; PSCs; ileostomy; colostomy; ostomy surgery; burden of disease; public health peristomal skin complications; PSCs; ileostomy; colostomy; ostomy surgery; burden of disease; public health

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MDPI and ACS Style

D’Ambrosio, F.; Pappalardo, C.; Scardigno, A.; Maida, A.; Ricciardi, R.; Calabrò, G.E. Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective. Int. J. Environ. Res. Public Health 2023, 20, 79. https://doi.org/10.3390/ijerph20010079

AMA Style

D’Ambrosio F, Pappalardo C, Scardigno A, Maida A, Ricciardi R, Calabrò GE. Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective. International Journal of Environmental Research and Public Health. 2023; 20(1):79. https://doi.org/10.3390/ijerph20010079

Chicago/Turabian Style

D’Ambrosio, Floriana, Ciro Pappalardo, Anna Scardigno, Ada Maida, Roberto Ricciardi, and Giovanna Elisa Calabrò. 2023. "Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective" International Journal of Environmental Research and Public Health 20, no. 1: 79. https://doi.org/10.3390/ijerph20010079

APA Style

D’Ambrosio, F., Pappalardo, C., Scardigno, A., Maida, A., Ricciardi, R., & Calabrò, G. E. (2023). Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective. International Journal of Environmental Research and Public Health, 20(1), 79. https://doi.org/10.3390/ijerph20010079

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