Innovative appliance for colostomy patients: an interventional prospective pilot study.
Appliance
Body image
Colorectal surgery
Colostomy
Output control
Stoma care
Journal
Techniques in coloproctology
ISSN: 1128-045X
Titre abrégé: Tech Coloproctol
Pays: Italy
ID NLM: 9613614
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
17
02
2019
accepted:
24
07
2019
pubmed:
23
8
2019
medline:
29
4
2020
entrez:
23
8
2019
Statut:
ppublish
Résumé
The control of body waste emptying is a constant research topic in stoma care. The aim of this pilot study was to assess the efficacy and safety of an innovative colostomy appliance. An interventional prospective non-comparative pilot study was conducted in seven French centers. The study device is a new type of two-piece appliance including a base plate and a "capsule cap" (CC) composed of a capsule cover and a folded collecting bag. The device gently seals the stoma to provide stoma output control. When the bowel movement pressure increases the patient may control the deployment of the folded bag and collect stools. Patients with left-sided colostomy all using a flat appliance, were enrolled in a 2-week trial. Outcome measures were type of CC removal and peristomal fecal leaks while wearing the device. Of 30 patients (females 66.7%), with left-sided colostomy (permanent 76.7%), 23 (76.7%) completed the 2-week trial. A total of 472 CC changes were analyzed. of 404 (85.5%) CC changes reported in diaries, 302 (74.8%) were linked with stool and/or gas. In 244 (60.3%) changes, the patient controlled stoma bag deployment and it occurred with bowel emptying 301 (74.5%) times. No leaks around the appliance were observed in 400 (85.3%) changes. no serious adverse event occurred. Peristomal skin was not modified during the trial. In the short term this new device has provided an increased control over bowel emptying at no risk in half of the trial population suggesting that an alternative approach to bag wearing is achievable.
Sections du résumé
BACKGROUND
BACKGROUND
The control of body waste emptying is a constant research topic in stoma care. The aim of this pilot study was to assess the efficacy and safety of an innovative colostomy appliance.
METHODS
METHODS
An interventional prospective non-comparative pilot study was conducted in seven French centers. The study device is a new type of two-piece appliance including a base plate and a "capsule cap" (CC) composed of a capsule cover and a folded collecting bag. The device gently seals the stoma to provide stoma output control. When the bowel movement pressure increases the patient may control the deployment of the folded bag and collect stools. Patients with left-sided colostomy all using a flat appliance, were enrolled in a 2-week trial. Outcome measures were type of CC removal and peristomal fecal leaks while wearing the device.
RESULTS
RESULTS
Of 30 patients (females 66.7%), with left-sided colostomy (permanent 76.7%), 23 (76.7%) completed the 2-week trial. A total of 472 CC changes were analyzed.
EFFICACY
RESULTS
of 404 (85.5%) CC changes reported in diaries, 302 (74.8%) were linked with stool and/or gas. In 244 (60.3%) changes, the patient controlled stoma bag deployment and it occurred with bowel emptying 301 (74.5%) times. No leaks around the appliance were observed in 400 (85.3%) changes.
SAFETY
RESULTS
no serious adverse event occurred. Peristomal skin was not modified during the trial.
CONCLUSIONS
CONCLUSIONS
In the short term this new device has provided an increased control over bowel emptying at no risk in half of the trial population suggesting that an alternative approach to bag wearing is achievable.
Identifiants
pubmed: 31435844
doi: 10.1007/s10151-019-02059-x
pii: 10.1007/s10151-019-02059-x
pmc: PMC6791903
doi:
Types de publication
Clinical Trial
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
853-859Investigateurs
M F Charenton
(MF)
N Daumard-Pasquier
(N)
C Duval
(C)
I Fernandes
(I)
M T Gatel
(MT)
H Sim
(H)
A Souaré
(A)
A Tourrou
(A)
E Trividic
(E)
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