Abstract
Objetive: This study deals with the treatment of granulomas, one of the possible complications of the stomies, which are characterized as focal lesions, whose formation occurs due to the presence of aggressive agents to the tissues from the increase of the degree of cellularity and other tissue elements, generating annoyance and anxiety to patients. This study aims to describe the clinical results of the treatment of peristomal granulomas with the use of 50% trichloroacetic acid (TCA). Methods: This is a case series study, carried out by professionals in a referral center for the treatment of individuals with an ostomy in the city of Porto Alegre, state of Rio Grande do Sul. Results: The study sample consisted of 13 patients who underwent follow-up for treatment of peristomal granulomas with TCA. Data collection was performed during nursing consultations, based on the observation and photographic record of the granulomas, with subsequent evolution in the individual charts. Conclusion: It was concluded from this study that the regular treatment with TCA resulted in regression of the granulomas until their total disappearance, being this acid able to be considered, therefore, a potential therapeutic option; however, it is recommended to carry out further studies on its use in stomatherapy, seeking the use of more robust clinical research methodologies and with bias control.
Highlights
Objetivo: Este estudio aborda el tratamiento de los granulomas, una de las posibles complicaciones de las estomias, que se caracterizan como lesiones focales, cuya formación ocurre debido a la presencia de agentes agresores a los tejidos a partir del aumento del grado de celularidad y de otros elementos teciduales, generando incomodidad y ansiedad a los pacientes
Tradicionalmente, os granulomas periestomais têm sido tratados a partir do uso de nitrato de prata, produto que se tornou a primeira escolha de tratamento, por favorecer rápida aplicação e ser indolor ao paciente[3,4,5,6]
Autoras explicam que os motivos para tão poucas publicações podem estar relacionados ao fato de que os granulomas não necessariamente causam desconforto físico aos pacientes, geralmente tratando-se de lesões indolores, resultando em pouco interesse em pesquisas os envolvendo, além de suas modalidades terapêuticas[3]
Summary
Objetivo: Este estudio aborda el tratamiento de los granulomas, una de las posibles complicaciones de las estomias, que se caracterizan como lesiones focales, cuya formación ocurre debido a la presencia de agentes agresores a los tejidos a partir del aumento del grado de celularidad y de otros elementos teciduales, generando incomodidad y ansiedad a los pacientes. O ácido tricloroacético (ATA), por sua vez, comumente utilizado em especialidades como dermatologia, odontologia, ginecologia e urologia para tratamento de unhas encravadas, lesões condilomatosas orais, vaginais e anais, realização de peeling químico, entre outras, pode também ser aplicado na estomaterapia com objetivo de remover granulomas, a partir da cauterização química[7,8,9,10,11,12].
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