Clinical Study of Skin Troubles after Ileostomy Patients with Crohn's Disease

Abstract

　The purpose of this study was to investigate early postoperative skin trouble in patients with Crohn’s Disease after ileostomy surgery. Forty patients who underwent ileostomy surgery for bowel obstruction or perforation were studied. First preoperative serum total protein and albumin levels, daily stool volume and stool consistency, and peristomal skin trouble were evaluated retrospectively. Serum total protein and albumin levels decreased during the first week after surgery and returned to the preoperative level in the third week post-op. Initial stool passage was recorded by the fourth day after surgery in all patients, and almost all patient had liquid stool. Mean stool volume increased gradually（postoperative first day: 339g, 14th day: 1202g respectively）. The most frequent skin trouble was skin erosion（61.5%）which was due to irritation from contact with stool. No significant correlation was found between total protein or albumin levels, daily stool volume, and the incidence of skin touble. We found that peristomal skin touble associated with liquid stool or ostomy appliances frequently developed in the early postoperative period. Adequate stoma care is necessary to prevent skin trouble after ileostomy surgery in patients with Crohn’s Disease.