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Badr Serji, Tarik Bouhout, Mohammed Chablou, Ebo Egur Ussman, Tijani El Harroudi
Skin complications are common in people who have an ostomy, and often involve the skin's function as a barrier breaking down. Many products have been developed to prevent and treat complications. However, in developing countries, they may be too expensive for patients to buy or not be available. Three case studies found the use of rhassoul, an affordable clay that is readily available in Morocco, to manage peristomal skin damage and protect the skin. Its protective properties are believed to include its ability to absorb and neutralise substances in ostomy output that damage skin and to act as a barrier...
March 8, 2018: British Journal of Nursing: BJN
M F Sier, D D Wisselink, D T Ubbink, R J Oostenbroek, G J Veldink, B Lamme, P van Duijvendijk, A A W van Geloven, Q A J Eijsbouts, W A Bemelman
BACKGROUND: Ileostomy construction is a common procedure but can be associated with morbidity. The stoma is commonly secured to the skin using transcutaneous sutures. It is hypothesized that intracutaneous sutures result in a tighter adherence of the peristomal skin to the stoma plate to prevent faecal leakage. The study aimed to compare the effect of intracutaneous versus transcutaneous suturing of ileostomies on faecal leakage and quality of life. METHODS: This randomized trial was undertaken in 11 hospitals in the Netherlands...
March 1, 2018: British Journal of Surgery
Pooja Bansal, Virendra Nath
The peristome, an interesting and important taxonomic structure used in the systematics of mosses, is for the first time studied in detail for 21 taxa of Bryum, which constitute a fraction of Indian representatives. Macro- and micro-morphological characters including color, size and length of two components of peristome, tapering pattern, median line, and papillosity at upper part under light microscope; width of exostome border, number and inner surface of ventral trabeculae, presence or absence of longitudinal/oblique septae between ventral trabeculae, pattern of exostome surface and height of endostomial basal membrane, adherence, perforations, and surface of cilia under scanning electron microscope were examined to bring out submicroscopic differences...
February 26, 2018: Protoplasma
Kayal Vizhi, Harshavardhan B Rao, Rama P Venu
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) placement is the modality of choice for long-term enteral nutrition in view of technical ease and cost-effectiveness. Peristomal infection (PI) remains the most common complication following PEG tube placement. The aim of this study was to assess the incidence and risk factors for PI and outline a microbiological profile that can aid in prophylactic and therapeutic strategies. METHODS: A retrospective study of 781 patients who underwent PEG placement (Cook PEG-Pull-S-20Fr/24Fr) from 2010 to 2015 at our tertiary care center were included...
February 23, 2018: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
Tainá Carneiro de Castro Monte, Brunna Vianna Braga, Maurício Carvalho de Vasconcellos, Arnon Dias Jurberg, Ester Maria Mota, Helene Santos Barbosa, Juberlan Silva Garcia, Arnaldo Maldonado Júnior
Helminth parasites have been studied as potential accumulators for different pollutants. Echinostoma paraensei is a foodborne trematode whose vertebrate host, the rodent Nectomys squamipes, is naturally exposed to environmental pesticides. However, little information exists regarding the pesticide's effects on helminths. This study investigated the morphological effects on the trematode, E. paraensei, after experimental Roundup® herbicide exposure, in concentrations below those recommended for agricultural use...
February 19, 2018: Revista Brasileira de Parasitologia Veterinária, Brazilian Journal of Veterinary Parasitology
Ariel Berger, Gary Inglese, George Skountrianos, Tonny Karlsmark, Mustafa Oguz
PURPOSE: To assess the cost-effectiveness of a ceramide-infused skin barrier (CIB) versus other skin barriers (standard of care) among patients who have undergone ostomy creation. DESIGN: Cost-effectiveness analysis, based on a decision-analytic model that was estimated using data from the ADVOCATE (A Study Determining Variances in Ostomy Skin Conditions And The Economic Impact) trial, which investigated stoma-related healthcare costs over 12 weeks among patients who recently underwent fecal ostomy, and from other sources...
February 12, 2018: Journal of Wound, Ostomy, and Continence Nursing
Morten Kvello, Charlotte Kristensen Knatten, Gøri Perminow, Hans Skari, Anders Engebretsen, Ole Schistad, Ragnhild Emblem, Kristin Bjørnland
Background and study aims:  Insertion of a percutaneous endoscopic gastrostomy (PEG) with push-through technique and T-fastener fixation (PEG-T) has recently been introduced in pediatric patients. The T-fasteners allow a primary insertion of a balloon gastrostomy. Due to limited data on the results of this technique in children, we have investigated peri- and postoperative outcomes after implementation of PEG-T in our department. Patients and methods:  This retrospective chart review included all patients below 18 years who underwent PEG-T placement from 2010 to 2014...
February 2018: Endoscopy International Open
Friederike Gallenmüller, Max Langer, Simon Poppinga, Hanns-Heinz Kassemeyer, Thomas Speck
The ability to perform hygroscopic movements has evolved in many plant lineages and relates to a multitude of different functions such as seed burial, flower protection or regulation of diaspore release. In most mosses, spore release is controlled by hygroscopic movements of the peristome teeth and also of the spore capsule. Our study presents, for the first time, temporally and spatially well-resolved kinematic analyses of these complex shape changes in response to humidity conditions and provides insights into the sophisticated functional morphology and anatomy of the peristome teeth...
February 2018: AoB Plants
Hayato Yamaguchi, Yoshihiro Furuichi, Yoshitaka Kasai, Hirohito Takeuchi, Yuu Yoshimasu, Katsutoshi Sugimoto, Ikuo Nakamura, Takao Itoi
A 27-year-old woman with colon cancer and liver metastasis was referred to our hospital. Colectomy and colostomy were performed to improve her ileus. Following 13 sessions of oxaliplatin-based chemotherapy (OC) with mFOLFOX6 + bevacizumab, thrombocytopenia and frequent peristomal bleeding occurred. Computed tomography showed severe ascites, splenomegaly, significant collateral veins around the stoma, and severe stenosis of the hepatic veins (HV) and inferior vena cava (IVC). Ultrasound elastography showed high liver (and spleen) stiffness values...
January 9, 2018: Clinical Journal of Gastroenterology
Thom R Nichols, Gary W Inglese
BACKGROUND: Body-altering surgery may affect perceptions of one's self. For those with abdominal stoma surgeries, altered perceptions amplified by peristomal skin condition can increase health burdens. OBJECTIVES: To assess health utility and health-related quality of life in an adult US ostomy sample in the presence of three levels of peristomal skin condition: intact, moderately compromised, and severely compromised. METHODS: The short form 36 health survey version 2, a generic health survey incorporating the six-dimensional health state short form preference-based utility index, was chosen to assess the sample...
January 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
(no author information available yet)
This article provides an executive summary of the recommendations from the Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary Ostomy, published by the Wound, Ostomy and Continence Nurses Society (WOCN Society). It presents an overview of the process used to update and develop the guideline and lists specific recommendations from the guideline. We provide recommendations that include the following topics: stoma construction, preoperative education, stoma site marking, selection of an ostomy pouching system, postoperative education, postoperative management issues, follow-up care after discharge from the acute care setting, health-related quality of life, and stomal and peristomal complications...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
Janice C Colwell, Joyce Pittman, Rose Raizman, Ginger Salvadalena
PURPOSE: To compare ostomy-related costs and incidence of peristomal skin complications (PSCs) for ceramide-infused ostomy skin barriers and control skin barriers. DESIGN: The ADVOCATE trial is a multi-centered randomized controlled trial, and double-blinded international study with an adaptive design. SUBJECTS AND SETTING: The sample comprised 153 adults from 25 sites from the United States, Canada, and Europe. Participants were seen in hospital and outpatient care settings...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
Ladan Afifi, Isabelle M Sanchez, Matthew M Wallace, Sara F Braswell, Alex G Ortega-Loayza, Kanade Shinkai
BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is an uncommon subtype of pyoderma gangrenosum. PPG is a challenging condition to diagnose and treat; no evidence-based guidelines exist. OBJECTIVE: To identify important clinical features of PPG and effective treatments available for its management. METHODS: A systematic literature review of PPG was performed using PubMed, Medline, and Embase databases. RESULTS: We describe 335 patients with PPG from 79 studies...
December 26, 2017: Journal of the American Academy of Dermatology
Alden Prcic, Edin Begic
Introduction: The aim of the study was to determine the most frequent early and late complications in different types of ileal urinary diversions. Patients and methods: The study was conducted in a five-year period, on 106 patients who were diagnosed with invasive urinary bladder cancer and who had indication for radical cystectomy with one of the investigated types of urine derivation. They were divided into 2 groups, based on the type of ileal urinary diversions...
October 2017: Medical Archives
Jennie Burch
No abstract text is available yet for this article.
January 2, 2018: British Journal of Community Nursing
Pradeep Pradhan, Abhishek Bhardwaj, Santanu Mandal, Sudhir Majhi
To demonstrate the surgical technique and outcomes of double posterior based flap technique in primary endoscopic dacryocystorhinostomy (DCR) with and without use of powered instrument. 28 patients of nasolacrimal duct obstruction were included in the study from September 2012 to February 2015. All underwent endoscopic dacryocystorhinostomy with double posterior based nasal and lacrimal flap technique. In patients of group A (14 patients), bone removal was done with the help of Smith-Kerrison punch forceps and in patients of group B (14 patients), powered drill has been used for the same...
December 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
Candela Bonill-de Las Nieves, Concepción Capilla Díaz, Miriam Celdrán-Mañas, José Miguel Morales-Asencio, Sandra Milena Hernández-Zambrano, César Hueso-Montoro
AIM: to describe ostomy patient's perception about health care received, as well as their needs and suggestions for healthcare system improvement. METHOD: qualitative phenomenological study was conducted, involving individual and semi-structured interviews on the life experiences of 21 adults who had a digestive stoma. Participants were selected following a purposive sampling approach. The analysis was based on the constant comparison of the data, the progressive incorporation of subjects and triangulation among researchers and stoma therapy nurses...
December 11, 2017: Revista Latino-americana de Enfermagem
Christopher R Ingraham, Guy E Johnson, Emily L Albrecht, Siddharth A Padia, Eric J Monroe, Brandon C Perry, Ethan M Dobrow, Daniel S Hippe, Karim Valji
PURPOSE: To compare peristomal infection rates following percutaneous gastrostomy (PG) after a single dose of prophylactic antibiotics versus placebo and evaluate rates of peristomal infection in patients receiving concurrent antibiotics. MATERIALS AND METHODS: This single-center, randomized trial (2012-2016) enrolled 122 patients referred for image-guided PG; all enrolled patients completed the study. Of enrolled patients, 68 were randomly assigned to receive either antibiotics (n = 34) or placebo (n = 34) before PG placement...
January 2018: Journal of Vascular and Interventional Radiology: JVIR
Holger Schäffler, Georg Lamprecht, Maria Witte
No abstract text is available yet for this article.
September 22, 2017: Deutsches Ärzteblatt International
Rune M Andersen, Tobias W Klausen, Anne K Danielsen, Anders Vinther, Ismail Gögenur, Thordis Thomsen
AIM: To investigate incidence and risk factors for parastomal bulging, a clinically important complication, in patients with an ileostomy or colostomy. METHOD: The Danish Stoma Database Capital Region prospectively collects data on patients with a stoma up to a year after surgery. Stoma care nurses clinically assessed the main outcome, parastomal bulging. We linked data from the Stoma Database to data from the Danish Anaesthesia Database. Cumulative incidence of parastomal bulging over the first year was calculated with death and stoma reversal as competing risks...
October 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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