Infectious, inflammatory and neoplastic aspects for making an intestinal elimination stoma

Authors

DOI:

https://doi.org/10.14295/bjs.v3i4.557

Keywords:

intestinal metaplasia, Crohn's syndrome, colorectal cancer, physical inactivity, poor diet

Abstract

Intestinal ostomy is a surgical procedure that aims to change the path of effluents by externalizing part of the intestine on the surface of the abdomen. Life habits are factors that contribute to intestinal infections and inflammation, just as cancer is one of the pathologies that most often causes intestinal ostomies. This study aimed to identify, through review research, primary, infectious, inflammatory and oncological diseases that lead to intestinal infections and inflammations, as well as cancer being one of the pathologies that causes the most in ostomized individuals. A bibliographical review study of the literature with a qualitative approach of the descriptive reflective analysis type was carried out. Important points were reached under the influence of Crohn's disease and its relationship with the creation of an intestinal ostomy; Fournier syndrome related to the reason for creating an ostomy, and for colorectal cancer and the creation of an intestinal ostomy. It is concluded that patients with an intestinal ostomy, whether due to inflammatory diseases such as Crohn's disease, infectious diseases (Fournier Syndrome) or oncological diseases (colorectal cancer), are increasing due to modifiable factors linked to lifestyle, smoking, sedentary lifestyle, morbid obesity and poor eating habits associated with low water intake.

References

Alenezi, A., McGrath, I., Kimpton, A., & Livesay, K. (2021). Quality of life among ostomy patients: A narrative literature review. Journal of Clinical Nursing, 30(21-22), 3111-3123. https://doi.org/10.1111/jocn.15840 DOI: https://doi.org/10.1111/jocn.15840

Atreya, R., & Siegmund, B. (2021). Location is important: differentiation between ileal and colonic Crohn’s disease. Nature Reviews Gastroenterology & Hepatology, 18, 544-558. https://doi.org/10.1038/s41575-021-00424-6 DOI: https://doi.org/10.1038/s41575-021-00424-6

Barros, I. F., Nunes, L. E., Vale, P. A. P. (2022). Caracterização do perfil epidemiológico do câncer em idosos no Rio Grande do Norte. Diversitas Journal, (7)4. https://doi.org/10.48017/dj.v7i4.2328 DOI: https://doi.org/10.48017/dj.v7i4.2328

Basílio, F. S., Santos, J. M., & Branco, C. S. (2021). The role ofoxidative stress in Crohn’sdisease: A narrative review. Research, Society and Development, 10(4), e52910414445. https://doi.org/10.33448/rsd-v10i4.14445 DOI: https://doi.org/10.33448/rsd-v10i4.14445

Baumgart, D., & Sandborn, W. J. (2012). Crohn’s disease. The Lancet, 380(9853), 1590-1605. https://doi.org/10.1016/S0140-6736(12)60026-9 DOI: https://doi.org/10.1016/S0140-6736(12)60026-9

Bernardo, W. M., Nobre, M. R. C., & Janete, F. B. (2004). A prática clínica baseada em evidências: parte II - buscando as evidências em fontes de informação. Revista da Associação Médica Brasileira, 50(1), 104-108. https://doi.org/10.1590/S0104-42302004000100045 DOI: https://doi.org/10.1590/S0104-42302004000100045

Brasil. (2010). O rastreamento através do exame laboratorial, para pesquisa de hematoquezia e a realização do exame de colonoscopia. Ministério da Saúde. Available in: https://www.gov.br/saude/pt-br. Access in: April 28, 2023.

Caspi, M., Wittenstein, A., Kazelnik, M., Shor-Nareznoy, Y., & Rosin-Arbesfeld, R. (2021). Therapeutic targeting of the oncogenic WnT signaling pathway for treating colorectal cancer and other colonic disorders. Advanced Drug Delivery Reviews, 169, 118-136. https://doi.org/10.1016/j.addr.2020.12.010 DOI: https://doi.org/10.1016/j.addr.2020.12.010

Cushing, K., & Higgins, P. D. R. (2021). Management of Crohn disease: A Review. JAMA, 325(1), 69-80. https://doi.org/10.1001/jama.2020.18936 DOI: https://doi.org/10.1001/jama.2020.18936

Dornelas, M. T., Correa, M. P. D., Barra, F. M. L., Corrêa, L. D., Silva, E. C., Dornelas, G. V., Dornelas, M. C. (2012). Síndrome de Fournier: 10 anos de avaliação. Revista Brasileira de Cirurgia Plástica, 27(4), 600-604. https://doi.org/10.1590/S1983-51752012000400022 DOI: https://doi.org/10.1590/S1983-51752012000400022

Faria, F. L., Labre, M. M., Sousa, I. F., & Almeida, R. J. (2018). Avaliação da qualidade de vida em pacientes com estomia intestinal. Revista Arquivos Ciência da Saúde, 25(2), 08-14. https://doi.org/10.17696/2318-3691.25.2.2018.924 DOI: https://doi.org/10.17696/2318-3691.25.2.2018.924

Felisberto, Y. S., Santos, C. D. P. C., Caires, P. T. P. R. C., Bitencourt, A. C. O., Mendes, A. V. F. D., Pinho, J. M. B. L., Oliveira, R. A. L., Casrto, B. T., Oliveira, P. M. R., & Santos, J. M. (2021). Câncer colorretal: a importância de um rastreio precoce. Revista Eletrônica Acervo Saúde, 13(4), e7130. https://doi.org/10.25248/reas.e7130.2021 DOI: https://doi.org/10.25248/reas.e7130.2021

Féres, O., Feitosa, M. R., Rocha, J. J. R., Miranda, J. M., Santos, L. E., Féres, A. C., Camargo, H. P., & Parra, R. S. (2021). Hyperbaric oxugen therapy decreases mortality due to Fournier’s gangrene. Medical Gas Research, 11(1), 18-23. https://doi.org/10.4103/2045-9912.310055 DOI: https://doi.org/10.4103/2045-9912.310055

Florentino, A. O., Silveira, G. C., Lopes, A., & Mondelli, A. L. (2020). The use of negative pressure therapy and its applicability in Fournier’s Syndrome. Research, Society and Development, 9(11), e4019119447. https://doi.org/10.33448/rsd-v9i11.9447 DOI: https://doi.org/10.33448/rsd-v9i11.9447

Geyl, S., Guillo, L., Laurent, V., D1amico, F., Danese, S., & Peyrin-Biroulet, L. (2021). Trasmural healing as a therapeutic goal in Crohn’s disease: a systematic review. The Lancet – Gastroenterology & Hepatology, 6(8), 659-667. https://doi.org/10.1016/S2468-1253(21)00096-0 DOI: https://doi.org/10.1016/S2468-1253(21)00096-0

Guimarães, M. C., Gonçalves, M. D. S., & Silva, C. P. (2020). Doenças de crohn: um estudo de caso. Humanidades e Tecnologia em Revista (FINOM), 23(1), 343-361. http://revistas.icesp.br/index.php/FINOM_Humanidade_Tecnologia/article/view/1187

Huang, J., Iii, D. E. L.-P., Zhang, L., Xu, W., Wong, S. H., Ng, S. C., & Wong, M. C. S. (2023). Updated epidemiology of gastrointestinal cancers in East Asia. Nature Reviews Gastroenterology & Hepatology, 20, 271-287. https://doi.org/10.1038/s41575-022-00726-3 DOI: https://doi.org/10.1038/s41575-022-00726-3

Huayllani, M., Cheema, A. S., McGuire, M. J., & Janis, J. E. (2022). Practical review of the current management of Fournier’s gangrene. Plastic and Reconstructive Surgery – Global Open, 10(3), e4191. https://doi.org/10.1097/GOX.0000000000004191 DOI: https://doi.org/10.1097/GOX.0000000000004191

Ilic, M., & Ilic, I. (2022). Epidemiology of stomach cancer. World Journal of Gastroenterology, 28(12), 1187-1203. https://doi.org/10.3748%2Fwjg.v28.i12.1187 DOI: https://doi.org/10.3748/wjg.v28.i12.1187

Kappel, C., Piticaru, J., Jones, G., Goucher, G., Cheon, P., Fischer, M., & Rochwerg, B. (2020). A case of possible Fournir’s gangrene associated with proning in COVID-19 ARDS. Canadian Journal of Anesthesia, 67, 1697-1698. https://doi.org/10.1007/s12630-020-01772-8 DOI: https://doi.org/10.1007/s12630-020-01772-8

Krishnamurty, D. M., Blatnik, J., Mutch, M. (2017). Stoma complications. Clinics in Colon and Rectal Surgery, 30(03), 193-200. https://doi.org/10.1055/s-0037-1598160 DOI: https://doi.org/10.1055/s-0037-1598160

Kuchinka, J., Matykiewicz, J., Wawrzyka, I., Kot, M., Karcz, W., & Głuszek, s. (2019). Fournier gangrene – a challenge for the surgeon. Polish Journal of Surgery, 91(1), 1-3. https://doi.org/10.5604/01.3001.0013.5894 DOI: https://doi.org/10.5604/01.3001.0013.5894

Lins, C. C., & Almeida, S. G. (2018). Doença de Crohn uma doença multifatorial: uma revisão de literatura. Centro Universitário de Brasília-UniCEUB, 1-19 p. Available in: https://repositorio.uniceub.br/jspui/bitstream/235/12636/1/21500431.pdf. Access in: March 27, 2024.

Lira, R. M., Camargo, F. L. Q., Silva, J. B. P., Bitencourt, E. L., Aguiar, J. C., Póvoa, F. C. C., & Franco, L. (2021). Imunodeficiência comum variável: relato de caso. Revista de Patologia do Tocantins, 8(3), 111-114. https://doi.org/10.20873/uft.2446-6492.2021v8n3p111 DOI: https://doi.org/10.20873/uft.2446-6492.2021v8n3p111

Macêdo, L. M., Cavalcante, V. M. V., Coelho, M. M. F., Ramos, S. L. T., Correia, D. L., Menezes, T. A. C., & Rodrigues, A. B. (2020). Percepções de pacientes estomizados com câncer colorretal acerca da qualidade de vida. Rev Rene, 21, e43946. https://doi.org/10.15253/2175-6783.20202143946 DOI: https://doi.org/10.15253/2175-6783.20202143946

Maciel, D. B. V., Santos, M. L. S. C., Oliveira, N. V. D., Fully, P. D. S. C., Camacho, A. C. L. F., & Coutinho, F. H. (2019). Perfil sociodemográfico de pacientes com estomia definitiva por câncer colorretal: Interferência na qualidade de vida. Nursing, 22(258), 3325-3330. https://doi.org/10.36489/nursing.2019v22i258p3325-3330 DOI: https://doi.org/10.36489/nursing.2019v22i258p3325-3330

Menezes, J. D. S., & Pereira, A. P. S. (2022). The sexuality of the person with an intestinal ostomy: an integrative review. Research, Society and Development, 11(11), e298111133620. https://doi.org/10.33448/rsd-v11i11.33620 DOI: https://doi.org/10.33448/rsd-v11i11.33620

Mohamed, N., Shah, Q. N., Kata, H. E., Sfakianos, J., & Given, B. (2021). Dealing with the unthinkable: Bladder and colorectal cancer patients’ and informal caregivers’ unmet needs and challenges in life after ostomies. Seminars in Oncology Nursing, 37(1), 151111. https://doi.org/10.1016/j.soncn.2020.151111 DOI: https://doi.org/10.1016/j.soncn.2020.151111

Morpurgo, E., & Galandiuk, S. (2002). Fournier’s gangrene. Surgical Clinics, 82(6), 1213-1224. https://doi.org/10.1016/S0039-6109(02)00058-0 DOI: https://doi.org/10.1016/S0039-6109(02)00058-0

Moser, G., Fournier, C., & Peter, J. (2018). Intestinal microbiome-gut-brain axis and irritable bowel syndrome. Wiener Medizinische Wochenschrift, 168(3), 62-66. https://doi.org/10.1007%2Fs10354-017-0592-0 DOI: https://doi.org/10.1007/s10354-017-0592-0

Nebbia, M., Yassin, N. A., & Spinelli, A. (2020). Colorectal cancer in inflammatory bowel disease. Clinics in Colon and Rectal Surgery, 33(05), 305-317. https://doi.org/10.1055/s-0040-1713748 DOI: https://doi.org/10.1055/s-0040-1713748

Olén, O., Erichsen, R., Sachs, M. C., Pedersen, L., Halfvarson, J., Askling, J., Ekbom, A., Søresen, H. T., & Ludvigson, J. F. (2022). Colorectal cancer in Crohn’s disease: a Scandinavian population-based cohort study. The Lancet – Gastroenterology & Hepatology, 5(5), 475-484. https://doi.org/10.1016/S2468-1253(20)30005-4 DOI: https://doi.org/10.1016/S2468-1253(20)30005-4

Oliveira, T. M. G., Lino, A. I. A., & Jesus, C. A. C. (2023). Negative outcomes in stomas and periestoma skin of individuals with inflammatory bowel diseases – Retrospective Cohort: Desfechos negativos em estomas e pele periestoma de indivíduos com doenças inflamatórias intestinaiss – Coorte Retrospectiva. Concilium, 23(3), 161-173. https://doi.org/10.53660/CLM-906-23B52. DOI: https://doi.org/10.53660/CLM-906-23B52

Oliveira, W. J. C., Janones, K. A., Almeida, J. F. F., Silva, W. R. C., Ferreira, A. A. S., & Lima, V. E. N. (2022). Estenose de via biliar secundária a colecistectomia videolaparoscópica e derivação biliodigestiva: Relato de caso. COORTE - Revista Científica do Hospital Santa Rosa, 14, 204-208. DOI: https://doi.org/10.52908/coorte.v0i14.260

Pallan, A., Dedelaite, M., Mirajkar, N., Newman, P. A., Plowright, J., & Ashraf, S. (2021). Postoperative complications of colorectal cancer. Clinical Radiology, 76(2), 896-907. https://doi.org/10.1016/j.crad.2021.06.002 DOI: https://doi.org/10.1016/j.crad.2021.06.002

Pires, M. E. P., Mezzomo, D. S., Leite, F. M. M., Lucena, T. M., Silva, J. S., Pinheiro, M. J. A., Vargas, L. J., & Oliveira, M. C. (2021). Rastreamento do câncer colorretal: revisão de literatura. Brazilian Journal of Health Review, 4(2), 6866-6881. https://doi.org/10.34119/bjhrv4n2-233 DOI: https://doi.org/10.34119/bjhrv4n2-233

Ribeiro, W. A., Andrade, M., Júnior, J. C. F., Cirino, H. P., Teixeira, J. M., & Oliveira, R. L. A. (2020). Delineamento de pacientes do núcleo de atenção à saúde da pessoa estomizada: um estudo descritivo do estomizado intestinal. Revista Pró-UniverSUS, 11(1), 38-45. https://doi.org/10.21727/rpu.v11i1.2211

Ribeiro, W. A., Andrade, M., Couto, C. S., Souza, D. M. S., Morais, M. C., & Santos, J. A. M. (2019). As contribuições do enfermeiro no autocuidado ao paciente estomizado. Revista Pró-UniverSUS, (10)1, 72-75. https://doi.org/10.21727/rpu.v10i1.1683 DOI: https://doi.org/10.21727/rpu.v10i1.1683

Roda, G., Ng, S. C., Kotze, P. G., Argollo, M., Panaccione, R., Spinelli, A., Kaser, A., Peyrin-Biroulet, L., & Danese, S. (2021). Crohn’s disease. Nature Reviews Disease Primers, 6. https://doi.org/10.1038/s41572-020-0156-2 DOI: https://doi.org/10.1038/s41572-020-0156-2

Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paulista de Enfermagem, 20(2), v-vi. http://www.redalyc.org/articulo.oa?id=307026613004 DOI: https://doi.org/10.1590/S0103-21002007000200001

Santos, D. R. C., Castro, J. B. R., & Parent, L. C. (2021). Doença de Crohn :estudo de caso. Revista Ibero-Americana de Humanidades, Ciências e Educação, 7(10), 71-82. https://doi.org/10.51891/rease.v7i10.2550 DOI: https://doi.org/10.51891/rease.v7i10.2550

Sena, J. F. (2020). Validation of educational material for the care of people with intestinal stoma. Revista Latino-Americana de Enfermagem, 28, e3269. https://doi.org/10.1590/1518-8345.3179.3269 DOI: https://doi.org/10.1590/1518-8345.3179.3269

Silva, K. A., Duarte, A. X., Cruz, A. R., Araújo, L. B., & Pena, G. G. (2020). Time after ostomy surgery and type of treatment are associated with quality of life changes in colorectal cancer patients with colostomy. PLoS ONE, 15(12), e0239201. https://doi.org/10.1371/journal.pone.0239201 DOI: https://doi.org/10.1371/journal.pone.0239201

Silva, A. L. C., Silva, L. J., Oliveira, A. S., Oliveira, R. L., & Almuinha, L. G. R. (2021). Nursing care for colorectal cancer patients. Research, Society and Development, 10(9), e46910918281. https://doi.org/10.33448/rsd-v10i9.18281 DOI: https://doi.org/10.33448/rsd-v10i9.18281

Silva, R. S., Sousa, A. T. O., Cardins, K. K. B., Pimentel, E. R. S. (2021). Perfil epidemiológico, clínico e terapêutico de paciente pós-operatório de estoma de alimentação. Revista Enfermagem Atual In Derme, 95(34), e-021047. https://doi.org/10.31011/reaid-2021-v.95-n.34-art.999 DOI: https://doi.org/10.31011/reaid-2021-v.95-n.34-art.999

Silva, I. C. C. R., Silva, C. G. P., Silva, I. M. A. S., & Reis, L. A. T. (2022). Simulação Clínica: uma estratégia de ensino na assistência de enfermagem a pacientes com estomia. In: Silva GTR (Org.). Concepções, estratégias pedagógicas e metodologias ativas na formação em saúde: desafios, oportunidades e aprendizados. Brasilia, DF: Editora Aben. Available in: https://doi.org/10.51234/aben.22.e17.c11. Access in April 26, 2023. DOI: https://doi.org/10.51234/aben.22.e17.c11

Souza, F. D. S. L., Gomes, F. C., Valle, N. S. B., & Coelho, E. E. (2019). Assistência de enfermagem ao portador da síndrome de Fournier: uma pesquisa integrativa. Brazilian Journal of Surgery and Clinical Research – B, 26(2), 54-62.

Torres, J., Mehandru, S., Colombel, J-F., & Peyrin-Biroulet, L. (2017). Crohn’s disease. The Lancet, 389(10080), 1741-1755. https://doi.org/10.1016/S0140-6736(16)31711-1 DOI: https://doi.org/10.1016/S0140-6736(16)31711-1

Tsujinaka, S., Tan, K-Y., Miyakura, Y., Fukano, R., Oshima, M., Konishi, F., & Rikiyama, T. (2020). Current management of intestinal stomas and their complications. Journal of the Anus, Rectum and Colon, 4(1), 25-33. https://doi.org/10.23922/jarc.2019-032 DOI: https://doi.org/10.23922/jarc.2019-032

Venito, S., Santos, M. S. B., & Ferraz, A. R. (2022). Doença de Crohn e retocolite ulcerativa. Revista Eletrônica Acervo Saúde, 15(7), e10667. https://doi.org/10.25248/reas.e10667.2022 DOI: https://doi.org/10.25248/reas.e10667.2022

Vogel, I., Reeves, N., Tanis, P. J., Bemelman, W. A., Torkington, J., Hompes, R., & Cornish, J. A. (2021). Impact of a defunctioning ileostomy and time to stoma closure on bowel function after low anterior resection for rectal cancer: a systematic review and meta-analysis. Techniques in Coloproctology, 25, 751-760. https://doi.org/10.1007/s10151-021-02436-5 DOI: https://doi.org/10.1007/s10151-021-02436-5

Zang, K-F., Shi, C-X., Chen, S-Y., & Wei, W. (2022). Progress in multidisciplinary treatment of Fournier’s gangrene. Infection and Drug Resistance, 15, 6869-6880. https://www.tandfonline.com/doi/full/10.2147/IDR.S390008 DOI: https://doi.org/10.2147/IDR.S390008

Downloads

Published

2024-03-27

How to Cite

Oliveira, A. R. de, Carneiro, A. F., Ribeiro, W. A., Pedrosa, P. H. B., Guedes, M. M. F., Souza, Érica M. M. de, Pires, T. R. P., & Constantino, G. N. B. (2024). Infectious, inflammatory and neoplastic aspects for making an intestinal elimination stoma. Brazilian Journal of Science, 3(4), 55–62. https://doi.org/10.14295/bjs.v3i4.557