Skin Barriers for Stoma Care and Historical Evidence

  • Tazawa Kenji
    Professor Emeritus Toyama Medical and Phamaceutical University (currently University of Toyama)

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Other Title
  • [総説]「皮膚保護剤の基礎研究とストーマ・排世リハビリテーション」
  • 皮膚保護剤の基礎研究とストーマ・排泄リハビリテーション
  • ヒフ ホゴザイ ノ キソ ケンキュウ ト ストーマ ・ ハイセツ リハビリテーション

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Abstract

Half a century has passed since skin barriers became commercially available for the purpose of protecting peristomal skin.Dr.Turnbull of the Clevel and Clinic in the United States reported that he uses karaya gum in stoma care.When karaya gum is used in peristomal skin management,it substantially reduces problems with peristomal skin in ostmates.Skin disorders are one of the significant challenges faced by ostmates that affects quality of life.Karaya gum is a water soluble gum that is weakly acidic,with a pH of 4.5.It has several properties that render it suitable as a skin barrier.Karaya gum also has strong buffering action and deactivates digestive juices,as well as bacteriostatic action that inhibits the proliferation of indigenous bacteria.Previous silicon-based skin barriers quickly disappeared from the market given that they lacked qualities required in skin barriers.In general,skin barriers must be adjusted to be weakly acidic,given that this reduces irritation of the skin and supports their physiological functions on the skin surface.Ideal skin barriers should not only protect the skin surface,but also allow for adjusting the conditions of the peristomal region to support satisfactory skin management.Ideal skin barriers in the future of ostomy rehabilitation will be those that are tailored to the needs of individual patients.

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