Treating Infant and Pediatric Patients With Peristomal Enzymatic Erosion with Ceramide-Containing Moldable Barrier Rings

Problem: Small bowel diversions (Jejunostomy, Ileostomy)and the often-associated problem of peristomal erosion are common in infants and pediatric patients.

Past Management: Use of standard barrier rings or stoma paste were often ineffective, even when accompanied by crusting techniques.

Current Methods: Introducing ceremide-containing skin barrier wafers and/or pieces of molded barrier ring are now being used as soon as peristomal skin shows signs of erosion in infants and children in this acute care setting. Three case examples of infant/pediatric patients treated with ceremide-containing skin barrier wafers and/or barrier rings will be presented.

Conclusions: The result was less peristomal skin erosion, less pain, and no delay in performing take down of temporary stoma’s related to peristomal erosion in the cases presented. One case in a patient with Crohns required additional treatment with steroid tape and low dose oral steroids.