Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review
Abstract
:1. Introduction
1.1. Stoma Definition, Classification, and Indications for Creation
1.2. Ostomy Appliance
1.2.1. Ostomy Pouching Systems
1.2.2. Appliance Adhesion and Absorption
1.3. Quality of Life of Patient with Stoma
1.3.1. Peristomal Skin Complications
1.3.2. Ostomy Appliance Issues
1.3.3. Stoma Issues
2. Materials and Methods
2.1. Aim and Objective
2.2. Research Strategy
2.3. Inclusion Criteria
3. Results
3.1. Ostomy Skin Care Products
3.1.1. Adhesive Remover
Alcohol- or Organic-Based Solvents
Oil-Based Solvents
Silicone-Based Removers
3.1.2. Skin Cleansing Formulations
3.1.3. Barrier Products
3.1.4. Filler Pastes
3.1.5. Soothing and Healing Formulations
3.1.6. Odour Eliminators
3.2. Avoidance and Management of Stoma Problems
4. Discussion
Study Limitation
5. Conclusions
6. Relevance to Clinical Practice
Author Contributions
Funding
Conflicts of Interest
Abbreviations
CAGR | Compound annual growth rate |
DEA cocamide | Cocamide diethanolamine |
DMDM Hydantoin | Dimethyl-Dimethyl hydantoin |
MARSI | Medical adhesive-related skin injury |
MASD | Moisture-associated skin damage |
PIB | Polyisobutylene |
PPG | Peristomal pyoderma gangrenosum |
PRISMA | Preferred Reporting Items for Systematic Reviews and Meta-Analysis |
PSAs | Pressure-sensitive adhesives |
PSCs | Peristomal skin complications |
SIS | Styrene–isoprene–styrene |
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Issue | Appliance and Accessory Solutions and Treatments | Other Solutions | Sources |
---|---|---|---|
Peristomal skin issues | |||
Candida | Apply antifungal powder to the affected area, apply skin barrier film over the antifungal, and let it dry completely before attaching the pouching system | Avoid excess moisture on the peristomal skin by thoroughly drying the pouching system Use antifungal drugs such as miconazole, clotrimazole, and allylamines If compromised, consider a dermatology review | [2,3,48,63,90,91] |
Contact dermatitis | Exercise care when using accessory products like adhesives, tapes, adhesive removers, and skin cleansers, as well as antiperspirants or deodorants, as they may act as potential allergens Use barrier film, protective powders, and seals | Review the appliance and resize the aperture; check the patient’s technique Choose a non-adhesive pouching system until the dermatitis has healed | [2,3,22,48,63,90,91] |
Mucocutaneous separation | Apply protective powder, paste, and/or seal for superficial cases | Prevent leakage to reduce the risk of infection Use alginate dressing for deeper wounds | [3,48,90,91] |
Folliculitis | Apply adhesive remover to avoid pulling hair from follicles, and use a skin sealant to protect the skin Use antibacterial soap when changing the pouching system and cleansing the skin | Shave regularly, avoid straight-edge razors, clean and completely dry the skin prior to using a new pouching system Discuss your problem with your primary healthcare provider regarding a prescription for a topical antibiotic powder | [48,63,90,91] |
Pyoderma gangrenosum | None | Steroid treatment and/or dermatological review | [2,3,48,63,90,91] |
Skin creases | Fill with filler paste, strip paste, or a seal | Check technique/correct appliance | [3,48,63,90] |
Skin stripping | Use adhesive remover to prevent irritation of peristomal skin Apply barrier films or powder to the lesion during each pouching system change | Teach the patient proper techniques for applying/removing the pouching system, tapes, and any adhesive products Consider using the “crusting” technique for severe skin stripping | [3,22,48,63,90,91] |
Sore skin | Use protective powder and then apply barrier film or cream | Adjust the aperture size and evaluate the patient’s technique | [2,3,22,90,91] |
Wet skin | To dry the area, apply protective powder and then use barrier film | Use a cool hairdryer at a distance | [2,3,48,90,91] |
Ostomy appliance issues | |||
Allergies | Use an alternative adhesive remover, skin barrier, or appliance with a different flange material | Consider reducing accessory use | [48] |
Pouch leakage | Choose a proper fitting pouching system and use accessories (pastes or seals) to fill in areas of the skin where leakage could occur | Empty the pouch before it is half-full Gas should be released before the pouch fills with air | [48] |
Ballooning | Evaluate the appliance for potential improvements, such as upgrading the filter, adding a vent, or opting for a drainable pouch | Employ dietary modifications | [48] |
Pancaking | Use stickers for coating the appliance filter | Enhance fluid intake, lubrication, or tissues within the appliance | [3,48] |
Odour | Deodorant | Employ dietary changes and more frequent appliance changes | [40,48] |
Watery output | Place thickening sachets in the appliance | Use thickening medications, rehydration solutions, and low-fibre diets, and increase intake of starches and carbohydrates | [40,48] |
Stoma issues | |||
Bleeding | Better cut the appliance aperture | Use direct pressure, cauterisation, sutures, and silver nitrate | [48] |
Granulomas | Better cut the appliance aperture; ensure proper fit of the pouching system Use stoma barrier paste at the mucocutaneous junction | Refrain from wearing tight-fitting clothing or belts over the stoma area Cauterise with silver nitrate | [3,48,63] |
Necrosis | Use a transparent and/or two-piece appliance to allow observation | Refashion the stoma | [48] |
Parastomal hernia | Level the skin, use flexible convex appliances and hernia supports such as belts and garments, and review the appliance | Perform light abdominal exercises, avoid physical strain, and have a balanced diet | [3,48] |
Prolapse | Use stoma caps and shields, supportive garments and belts, barrier film, and alternative appliances designed to adjust to the stoma’s changing size | Wear clothes that do not catch or drag the stoma | [3,48] |
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Share and Cite
Kulawik-Pióro, A.; Miastkowska, M.; Bialik-Wąs, K.; Zelga, P.; Piotrowska, A. Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review. Cosmetics 2025, 12, 74. https://doi.org/10.3390/cosmetics12020074
Kulawik-Pióro A, Miastkowska M, Bialik-Wąs K, Zelga P, Piotrowska A. Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review. Cosmetics. 2025; 12(2):74. https://doi.org/10.3390/cosmetics12020074
Chicago/Turabian StyleKulawik-Pióro, Agnieszka, Małgorzata Miastkowska, Katarzyna Bialik-Wąs, Piotr Zelga, and Anna Piotrowska. 2025. "Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review" Cosmetics 12, no. 2: 74. https://doi.org/10.3390/cosmetics12020074
APA StyleKulawik-Pióro, A., Miastkowska, M., Bialik-Wąs, K., Zelga, P., & Piotrowska, A. (2025). Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review. Cosmetics, 12(2), 74. https://doi.org/10.3390/cosmetics12020074