Ch. 97 Skin Problems in Ostomates

Chapter 97
Skin Problems in
Ostomates
Calum C. Lyon & Michael H. Beck
REFERENCES
1. Cottam J et al: Results of a nationwide prospective
audit of stoma complications within 3 weeks
of surgery. Colorectal Dis 9(9):834-838, 2007
2. Lyon CC et al: The spectrum of skin disorders
in abdominal stoma patients. Br J Dermatol
143(6):1248-1260, 2000
3. Salvadalena G: Incidence of complications of the
stoma and peristomal skin among individuals
with colostomy, ileostomy, and urostomy: A systematic
review. J Wound Ostomy Continence Nurs
35(6):596-607; quiz 608-599, 2008
4. Rolstad BS, Erwin-Toth PL: Peristomal skin complications:
Prevention and management. Ostomy
Wound Manage 50(9):68-77, 2004
5. Jemec GB, Nybaek H: Peristomal skin problems
account for more than one in three visits to
ostomy nurses. Br J Dermatol 159(5):1211-1212,
2008
6. Ratliff CR et al: Descriptive study of peristomal
complications. J Wound Ostomy Continence Nurs
32(1):33-37, 2005
7. Nybaek H et al: Skin problems in ostomy patients:
A case-control study of risk factors. Acta Derm
Venereol 89(1):64-67, 2009
8. Smith GH et al: Anderson DN. Paraileostomy recontouring
by collagen sealant injection: A novel
approach to one aspect of ileostomy morbidity.
Report of a case. Dis Colon Rectum 50(10):1719-
1723, 2007
9. Persson E et al: Stoma-related complications and
stoma size—A 2-year follow-up. Colorectal Dis
12(10):971-976, 2010
10. Lyon CC et al: Peristomal dermatoses: A novel
indication for topical steroid lotions. J Am Acad
Dermatol 43(4):679-682, 2000
11. Moon CM, Meffert JJ: Periostomy dermatitis: A
novel therapeutic approach. Skinmed 1(1):60-61,
2002
12. Fischer S et al: [Peristomal dermatitis: A common
condition and a differential diagnostic challenge].
MMW Fortschr Med 145(21):43-46, 2003
13. Lyon CC et al: Topical sucralfate in the management
of peristomal skin disease: An open study.
Clin Exp Dermatol 25(8):584-588, 2000
14. Braun K: Managing a highly exudative wound
adjacent to an ileostomy. J Wound Ostomy Continence
Nurs 30(3):159-164, 2003
15. Williams CM et al: Human papillomavirus-negative
ileostomal chronic papillomatous dermatitis.
J Cutan Pathol 30(4):271-274, 2003
16. Jeter K: Hyperplasia or what? Journal of Enterostomal
Therapy 10:181-184, 1983
17. Francis EP et al: Cutaneous presentation of
ectopic small bowel mucosa. J Am Acad Dermatol
51(3):476-477, 2004
18. Al-Niaimi F, Lyon CC: Primary adenocarcinoma
in peristomal skin: A case study. Ostomy Wound
Manage 56(1):45-47, 2010
19. Connolly M, Armstrong JS, Buckley DA: Tender
papules around a stoma. Clin Exp Dermatol
31(1):165-166, 2006
20. P Ripoll MV, S Salabert: Treatment and follow
up of ileal stomas with mucosal granulomas.
Proceedings of the 13th biennial conference of the
WCET Hollister International, 2000, p. 113
21. Moriyasu A, Katoh N, Kishimoto S: Psoriasis localized
exclusively to peristomal skin. J Am Acad
Dermatol 54(Suppl. 2):S55-S56, 2006
22. Griffiths CE, Tranfaglia MG, Kang S: Prolonged
occlusion in the treatment of psoriasis: A clinical
and immunohistologic study. J Am Acad Dermatol
32(4):618-622, 1995
23. Lyon CC et al: Parastomal pyoderma gangrenosum:
Clinical features and management. J Am
Acad Dermatol 42(6):992-1002, 2000
24. Hughes AP, Jackson JM, Callen JP: Clinical features
and treatment of peristomal pyoderma gangrenosum.
JAMA 284(12):1546-1548, 2000
25. Poritz LS et al: Management of peristomal pyoderma
gangrenosum. J Am Coll Surg 206(2):311-
315, 2008
26. Kiran RP et al: Management of peristomal pyoderma
gangrenosum. Dis Colon Rectum 48(7):1397-
1403, 2005

564 Chapter 97: Skin Problems in Ostomates
27. Gray M, Catanzaro J: What interventions are
effective for managing peristomal pyoderma
gangrenosum? J Wound Ostomy Continence Nurs
31(5):249-255, 2004
28. Nybaek H et al: Topical therapy for peristomal
pyoderma gangrenosum. J Cutan Med Surg
8(4):220-223, 2004
29. Khurrum Baig M et al: Topical tacrolimus (FK506)
in the treatment of recalcitrant parastomal
pyoderma gangrenosum associated with Crohn’s
disease: report of two cases. Colorectal Dis
6(4):250-253.
30. Lyon CC et al: Topical tacrolimus in the management
of peristomal pyoderma gangrenosum. J
Dermatolog Treat 12(1):13-17, 2001
31. Daniels NH, Callen JP: Mycophenolate mofetil is
an effective treatment for peristomal pyoderma
gangrenosum. Arch Dermatol 140(12):1427-1429,
2004
32. Brooklyn TN et al: Infliximab for the treatment of
pyoderma gangrenosum: A randomised, double
blind, placebo controlled trial. Gut 55(4):505-509,
2006
33. Fonder MA et al: Adalimumab therapy for recalcitrant
pyoderma gangrenosum. J Burns Wounds
5:e8, 2006
34. Martin JA, Hughes TM, Stone NM: Peristomal allergic
contact dermatitis—Case report and review
of the literature. Contact Dermatitis 52(5):273-275,
2005
35. Williams J, Lyon CC: Abdominal Stomas and their
Skin disorders, 2nd edition. London, Informa
Healthcare, 2010
36. Cecchi R, Paoli S, Giomi A: Peristomal bullous
pemphigoid. J Eur Acad Dermatol Venereol
18(4):515-516, 2004
37. Katory M et al: Nicorandil and idiopathic anal ulceration.
Dis Colon Rectum 48(7):1442-1446, 2005
38. Ogden S et al: Nicorandil-induced peristomal
ulcers: Is nicorandil also associated with gastrointestinal
fistula formation? Br J Dermatol
156(3):608-609, 2007
39. Weng AA, Charles-Holmes R: Peristomal lichen
sclerosus affecting colostomy sites. Br J Dermatol
142(1):177-178, 2000
40. Farrar CW, Dowling P, Mendelsohn SD: Peristomal
lichen sclerosus developing posturostomy. Clin
Exp Dermatol 28(2):223-224, 2003
41. Ng CS et al: Chronic parastomal ulcers: Spectrum
of dermatoses. J ET Nurs 19(3):85-90, 1992
42. Ahmed I et al: Metastasis of ulcerative colitis in
peristomal skin—An extremely rare case. J Gastrointestin
Liver Dis 18(2):257, 2009
43. Sewell LD, Marks VJ: Excision of a peristomal basal
cell carcinoma using Mohs micrographic surgery.
Dermatol Surg 34(7):971-973, 2008
44. Ramanujam P, Venkatesh KS: An unusual case of
squamous cell carcinoma arising at the stomal
site: Case report and review of the literature. J
Gastrointest Surg 6(4):630-631, 2002
45. Greenberg HL, Lopez L, Butler DF: Peristomal
metastatic adenocarcinoma of the rectum. Arch
Dermatol 142(10):1372-1373, 2006
Copyright© McGraw-Hill Companies, Inc. All rights reserved.