Background and Significance: Literature reports peristomal skin complication rates of 10-70%1. Ratliff reports ileostomy as having the highest rate of complications.2 Comparison between reports is difficult as different authors report different complications.
Study Design: Data was collected retrospectively from documentation by the Wound, Ostomy, Continence Clinical Nurse Specialist (WOC CNS).
Study Population: Eighty-nine adult patients with ninety-two ostomies were seen by the WOC CNS over a period of 25 months.
Study Results: There were fifty patients with colostomies, thirty-four patients with ileostomies, seven patients with ileo-conduits and one patient with a jejunostomy. 45 of 92 stomas (49%) had complications. 46% of colostomies had complications. The most frequent colostomy complication was irritant dermatitis, followed by mucocutaneous separation, retraction, and hernia. 44% of ileostomies had complications. The most frequent ileostomy complication was irritant dermatitis, followed by mucocutaneous separation. 86% of ileo-conduits had complications. The most frequent ileo-conduit complication was irritant dermatitis, followed by retraction and candidiasis. The one jejunostomy experienced both retraction and irritant dermatitis.
Seventy stomas were considered new (less than six months) and twenty-two were considered old (more than six months). 50% of new stomas had complications, irritant dermatitis being the most frequent (occurring with 60% of the new stomas with complications). 45% of old stomas were associated with complications, irritant dermatitis being the most frequent (occurring with 70% of the old stomas with complications).