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Beclometasone inhaler-induced recovery of refractory peri-ileostomy skin complications.
Br J Nurs. 2023 Mar 23; 32(6):S16-S26.BJ

Abstract

Peristomal skin complications (PSCs) are relatively common in ostomy patients, particularly in those with ileostomies. Non-healing irritation presents a clinical challenge and leads to pain and impaired quality of life for patients.

METHODS

The cases of four ileostomy patients experiencing severe, challenging PSCs refractory to appliance changes, conventional dressings and barrier creams are discussed.

FINDINGS

The cases of one male and one female patient with an end ileostomy post-subtotal colectomy for ulcerative colitis, one female with a defunctioning ileostomy post-anterior resection for sigmoid carcinoma and one male with an end ileostomy with a complex Crohn's surgical history are described. Two puffs of a 250 mcg metered dose beclometasone inhaler were applied to the affected skin once or twice daily. Treatment ranged from 6 to 21 days. Complete resolution was seen in all cases.

CONCLUSION

Topical use of a beclometasone inhaler was effective for severe peri-ileostomy PSC secondary to four different aetiologies. Further studies are warranted to determine the effectiveness of this treatment in a larger patient cohort.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

McDonald M
Stoma Care Clinical Nurse Specialist, Department of Colorectal Surgery; University Hospital Waterford, Waterford, Ireland.
Connelly TM
Colorectal Registrar, Department of Colorectal Surgery; University Hospital Waterford, Waterford, Ireland.
Brett A
Colorectal Physician Associate, Department of Colorectal Surgery; University Hospital Waterford, Waterford, Ireland.
McCullough P
Consultant Colorectal Surgeon, Department of Colorectal Surgery; University Hospital Waterford, Waterford, Ireland.
Cooke F
Consultant Colorectal Surgeon, Department of Colorectal Surgery; University Hospital Waterford, Waterford, Ireland.
Neary P
Consultant Colorectal Surgeon, Department of Colorectal Surgery; University Hospital Waterford, Waterford, Ireland.

MeSH

HumansMaleFemaleIleostomyBeclomethasoneQuality of LifePostoperative ComplicationsNebulizers and Vaporizers

Pub Type(s)

Journal Article

Language

eng

PubMed ID

36952367

Citation

McDonald, Mary, et al. "Beclometasone Inhaler-induced Recovery of Refractory Peri-ileostomy Skin Complications." British Journal of Nursing (Mark Allen Publishing), vol. 32, no. 6, 2023, pp. S16-S26.
McDonald M, Connelly TM, Brett A, et al. Beclometasone inhaler-induced recovery of refractory peri-ileostomy skin complications. Br J Nurs. 2023;32(6):S16-S26.
McDonald, M., Connelly, T. M., Brett, A., McCullough, P., Cooke, F., & Neary, P. (2023). Beclometasone inhaler-induced recovery of refractory peri-ileostomy skin complications. British Journal of Nursing (Mark Allen Publishing), 32(6), S16-S26. https://doi.org/10.12968/bjon.2023.32.6.S16
McDonald M, et al. Beclometasone Inhaler-induced Recovery of Refractory Peri-ileostomy Skin Complications. Br J Nurs. 2023 Mar 23;32(6):S16-S26. PubMed PMID: 36952367.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Beclometasone inhaler-induced recovery of refractory peri-ileostomy skin complications. AU - McDonald,Mary, AU - Connelly,Tara M, AU - Brett,Aishling, AU - McCullough,Peter, AU - Cooke,Fiachra, AU - Neary,Peter, PY - 2023/3/23/entrez PY - 2023/3/24/pubmed PY - 2023/3/28/medline KW - Beclometasone KW - Ileostomy KW - Medical adhesive-related skin injury KW - Moisture-associated skin damage KW - Peristomal skin KW - Stoma SP - S16 EP - S26 JF - British journal of nursing (Mark Allen Publishing) JO - Br J Nurs VL - 32 IS - 6 N2 - UNLABELLED: Peristomal skin complications (PSCs) are relatively common in ostomy patients, particularly in those with ileostomies. Non-healing irritation presents a clinical challenge and leads to pain and impaired quality of life for patients. METHODS: The cases of four ileostomy patients experiencing severe, challenging PSCs refractory to appliance changes, conventional dressings and barrier creams are discussed. FINDINGS: The cases of one male and one female patient with an end ileostomy post-subtotal colectomy for ulcerative colitis, one female with a defunctioning ileostomy post-anterior resection for sigmoid carcinoma and one male with an end ileostomy with a complex Crohn's surgical history are described. Two puffs of a 250 mcg metered dose beclometasone inhaler were applied to the affected skin once or twice daily. Treatment ranged from 6 to 21 days. Complete resolution was seen in all cases. CONCLUSION: Topical use of a beclometasone inhaler was effective for severe peri-ileostomy PSC secondary to four different aetiologies. Further studies are warranted to determine the effectiveness of this treatment in a larger patient cohort. SN - 0966-0461 UR - https://www.unboundmedicine.com/medline/citation/36952367/Beclometasone_inhaler_induced_recovery_of_refractory_peri_ileostomy_skin_complications_ DB - PRIME DP - Unbound Medicine ER -