Negative outcomes in stomas and periestoma skin of individuals with inflammatory bowel diseases – Retrospective Cohort
Desfechos negativos em estomas e pele periestoma de indivíduos com doenças inflamatórias intestinais – Coorte Retrospectiva
Palavras-chave:
Inflammatory Bowel Diseases, Ostomy, ComplicationsResumo
Objective: To verify an association between the occurrence of complications in stoma and periestoma skin with inflammatory bowel diseases. Method: Retrospective cohort with secondary data with 34 patients enrolled in an outpatient clinic to treat inflammatory bowel diseases. They were divided into two groups: exposed to inflammatory bowel diseases and not exposed. Methods: Data were collected from medical records from 2012 to 2019. In the group of exposed individuals, stomized were included. For the non-exposed, analogous criteria were used. To evaluate the association of complications of stoma and periestoma skin, relative risks were calculated using the SPSS 2.0® software. Results: The most frequent ostomies were: ileostomy and colostomy. 70.6% of the group of exposed patients presented complications related to ostomy and periestoma skin. The relative risk identified is expressed that those exposed to inflammatory bowel diseases have a 2.4 times higher risk of developing complications than those not exposed (p=0.026). Conclusion: Inflammatory bowel diseases were associated with complications, but the mechanism associated with the relationship is still unknown.
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AHMAD, I.; AKHTAR, A.; KHAN, A.U.R. Intestinal Stomas - Various complications and their management. Pakistan J Med Health Sci. v. 8, n. 3, p. 676-7, 2014.
AL-MOMANI, H.; MILLER, C.; STEPHENSON, M. Stoma siting and the “arcuate line” Douglas: might it be of relevance to later herniation? Colorectal Dis.v.16, n. 2, p. 141-3, fev. 2014. doi: 10.1111/codi.12469.
CAMBUI, Y.R.S; NATALI, M.R.M. Inflammatory bowel disease: narrative literature review. Rev. Fac. Ciênc. Méd. Sorocaba, v. 17, n. 3, p. 116-119. Disponível em: https://revistas.pucsp.br/RFCMS/article/view/20378/pdf. Acesso em: 15/06/2019.
COWELL, J. C. Stomal and Peristomal Complications. In: COWELL, J.C.; GOLDBERG, M.T.; CARMEL, J.E. (Org.). Fecal & urinary diversions: management principles. St Louis: Mosby; 2004: Chap 14, p. 308-25.
DANTAS, F.G. et al. Complications prevalence in people with urinary and intestinal Ostomies. Revista Enfermagem Atual. v. 82, 2017. DOI: https://doi.org/10.31011/reaid-2017-v.82-n.20-art.304
FARIAS, L.S.S. et al., Maio roxo: mês das doenças inflamatórias intestinais. Uma ação extensionista. Focando a Extensão, Ilhéus; v. 6, n. 8, p. 70-84, jan./jun., 2019. ISSN: 2236-5109.
FUMERY, M. et al. Systematic review with meta-analysis: recurrence of Crohn’s disease after total colectomy with permanent ileostomy. Aliment Pharmacol Ther. v. 45, p. 381–90, 2017. doi: 10.1111/apt.13886.
HARILINGAM, M. et al. Patient-related factors influence the risk of developing intestinal stoma complications in early post-operative period. ANZ J Surg. Dez. 2015. doi: 10.1111/ans.13397.
HIRSH, A. et al. Penetrating Disease, Narcotic Use, and Loop Ostomy Are Associated with Ostomy and IBD-related Complications After Ostomy Surgery in Crohn’s Disease Patients. J Gastrointest Surg. v. 19, n. 10, p. 1852-61, 2015. https://doi.org/10.1007/s11605-015-2908-y
JAYARAJAH, U.; SAMARASEKARA, A.M.; SAMARASEKERA, D.N. A study of long-term complications associated with enteral ostomy and their contributory factors. BMC Res Notes. v. 9, p. 500, 2016. doi: 10.1186/s13104-016-2304-z
MAGRO, F. et al. Third European Evidence-based Consensus on Diagnosis and Management of Ulcerative Colitis. Part 1: Definitions, Diagnosis, Extra-intestinal Manifestations, Pregnancy, Cancer Surveillance, Surgery, and Ileo-anal Pouch Disorders. Journal of Crohn's & colitis. v. 11, n. 6, p. 649-70, 2017.
MEISNER S, et al. Peristomal Skin Complications Are Common, Expensive, and Difficult to Manage: A Population Based Cost Modeling Study. PLoS One. v.7. n. 5, p. e37813, 2012. doi: 10.1371/journal.pone.0037813.
MESSARIS, E. et al. Dehydration is the most common indication for readmission after diverting ileostomy creation. Diseases of the colon and rectum.v. 55, p. 175–80, 2012. DOI: 10.1097/DCR.0b013e31823d0ec5
MOREIRA, A.L. et al. IBD Epidemiology: What is Going on in the Developing World? Results from 163,000 Patients. Gastroenterology. v. 156, n. 6, p. S-73·maio 2019. doi: 10.1016/S0016-5085(19)36968-9
MOWAT, C. et al. Guidelines for the management of inflammatory bowel disease in adults. Gut. v. 60, n. 5, p. 571-607, 2011. doi:10.1136/gut.2010.224154
PINTO, I. et al. Risk factors associated with the development of elimination stoma and peristomal skin complications. Rev. Enf. Ref. [Internet]. v. ser IV, n. 15, p. 155-166, Dez. 2017. http://dx.doi.org/10.12707/RIV17071.
PINTO, I.E. et al. Propriedades psicométricas do formulário desenvolvimento da competência de autocuidado da pessoa com ostomia de eliminação intestinal. Revista de Enfermagem.v. 4, n. 8, p. 75-84, 2016. doi:10.12707/RIV15044
REISDORFER, N. et al. Processo de transição para vivência com estomias intestinais de eliminação: repercussões na imagem corporal. ESTIMA, Braz. J. Enterostomal Ther. v. 16, p. e1219, São Paulo, 2019. https://doi.org/10.30886/estima. v16.683_PT
ROSA, J.R.; SILVA JÚNIOR, J.; ROSA, M. Epidemiological profile of patients with inflammatory bowel disease. ACM arq. catarin. med. v. 43, n. 2, p. 53-58, abr.-jun. 2014. Disponível em: 1287.pdf (acm.org.br) Acesso em: 10 fev. 2023.
SANTOS, R. M. Telecuidado no tratamento das doenças inflamatórias intestinais: ensaio clínico randomizado. 2016 135 f. Dissertação (Mestrado) - Escola de Enfermagem Aurora Afonso Costa, MestradoProfissional em Enfermagem Assistencial, Niterói. 2016. Disponível em: Microsoft Word - telecuidadodissefinalissima.doc (uff.br) Acesso em: 10 fev. 2023.
SANTOS, V.L.C.; CESARETTI, G.I.U.R. Assistência em Estomaterapia: Cuidando de Pessoas Com Estomia. 2 Ed São Paulo: Ed. Atheneu, 2015.
SOUZA, M.M.; BELASCO, A.G.S.; AGUILAR-NASCIMENTO, J.E. Perfil epidemiológico dos pacientes portadores de doença inflamatória intestinal do estado de Mato Grosso. Rev bras. colo-proctol. [Internet]. v. 28, n. 3, p. 324-328, Set. 2008. https://doi.org/10.1590/S0101-98802008000300009.
VASCONCELOS, R.S. et al. Qualidade de vida de pacientes com doença inflamatória intestinal: revisão integrativa. ESTIMA, Braz. J. Enterostomal Ther. v. 16, p. 2118, São Paulo, 2018. DOI: 10.30886/estima.v16.480_PT
VIEIRA, F.S. Complicações de estoma intestinal e pele periestoma de pacientes em seguimento ambulatorial. Dissertação (Mestrado) - Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, 2014. 2014. p. 37-45. doi:10.11606/D.22.2014.tde-06022015-174658
WANG, X; SHEN, B. Management of Crohn’s Disease and Complications in Patients With Ostomies. Stoma and Inflammatory Bowel Diseases. Inflamm Bowel Dis. v. 24, n. 6, p. 1167-1184, 2018. https://doi.org/10.1093/ibd/izy025
YÜKSEL, I. et al. Mucocutaneous Manifestations in Inflammatory bowel disease. Inflamm Bowel Dis. v. 15, n. 4, p. 546-50, Apr.;2009. doi: 10.1002/ibd.20807.