Du TT, He JH. Efficacy of sodium zirconium phosphate alginate dressings for peristomal dermatitis after gastrointestinal surgery: A retrospective study. World J Gastrointest Surg 2026; 18(3): 116203 [DOI: 10.4240/wjgs.v18.i3.116203]
Corresponding Author of This Article
Jia-Huan He, MB, Wound Ostomy Specialist Nurse, Department of Endocrine, Affiliated Hospital of Shaoxing University of Arts and Sciences, No. 999 Zhongxing South Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. 1160752506@qq.com
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Gastroenterology & Hepatology
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Retrospective Study
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Mar 27, 2026 (publication date) through Mar 30, 2026
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Publication Name
World Journal of Gastrointestinal Surgery
ISSN
1948-9366
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Du TT, He JH. Efficacy of sodium zirconium phosphate alginate dressings for peristomal dermatitis after gastrointestinal surgery: A retrospective study. World J Gastrointest Surg 2026; 18(3): 116203 [DOI: 10.4240/wjgs.v18.i3.116203]
World J Gastrointest Surg. Mar 27, 2026; 18(3): 116203 Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.116203
Efficacy of sodium zirconium phosphate alginate dressings for peristomal dermatitis after gastrointestinal surgery: A retrospective study
Ting-Ting Du, Jia-Huan He
Ting-Ting Du, Department of Infusion, Affiliated Hospital of Shaoxing University of Arts and Sciences, Shaoxing 312000, Zhejiang Province, China
Jia-Huan He, Department of Endocrine, Affiliated Hospital of Shaoxing University of Arts and Sciences, Shaoxing 312000, Zhejiang Province, China
Author contributions: Du TT responsible for study conceptualization, research methodology design, formal analysis, investigation, data curation, and writing the original draft; He JH responsible for study conceptualization, resource provision, supervision, manuscript review and editing, and project administration.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Affiliated Hospital of Shaoxing University of Arts and Sciences (approval No. 2025-119-01).
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Corresponding author: Jia-Huan He, MB, Wound Ostomy Specialist Nurse, Department of Endocrine, Affiliated Hospital of Shaoxing University of Arts and Sciences, No. 999 Zhongxing South Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. 1160752506@qq.com
Received: November 14, 2025 Revised: December 13, 2025 Accepted: January 22, 2026 Published online: March 27, 2026 Processing time: 133 Days and 4.7 Hours
Abstract
BACKGROUND
Peristomal dermatitis is a common postoperative complication that compromises the comfort and quality of life of the patient, and its effective management remains complex.
AIM
To evaluate the efficacy of sodium zirconium phosphate alginate dressings in managing post-gastrointestinal surgery peristomal dermatitis, and provide evidence for optimal clinical intervention and enhanced patient outcomes.
METHODS
This retrospective analysis included 120 patients with peristomal dermatitis who were admitted between September 2023 and November 2024. The observation group (n = 56) received sodium zirconium phosphate alginate dressings, while the control group (n = 64) was treated with conventional dressing changes. Baseline characteristics were assessed through 1:1 propensity score matching using the nearest-neighbor method, finally enrolling 45 patients per group. Clinical efficacy was assessed after 12 days of intervention. Skin conditions were compared pre- and at 3-, 6-, 9-, and 12-days post-intervention. Complication incidence and patient satisfaction rates were statistically analyzed.
RESULTS
The overall response rate was significantly higher in the observation group than in the control group (93.33% and 42/45 vs 77.78% and 35/45) (P < 0.05). At 9- and 12-days post-intervention, compared with the control group, the observation group exhibited lower discolouration, erosion, tissue overgrowth/assessment, intervention, monitoring (DET/AIM) scores (P < 0.05). The incidence of complications was lower in the observation group (4.44%, 2/45) than in the control group (22.22%, 10/45) (P < 0.05). The observation group exhibited higher satisfaction for intervention (95.56%, 43/45) compared with the control group (75.56%, 34/45) (P < 0.05).
CONCLUSION
The outcomes after using sodium zirconium phosphate alginate dressings for peristomal dermatitis in gastrointestinal surgery are satisfactory. These dressings improve patients’ skin condition, reduce complication risks, and improve patient satisfaction with the intervention.
Core Tip: This retrospective study demonstrates that sodium zirconium alginate dressings are an effective intervention for peristomal dermatitis after gastrointestinal surgery. Compared to conventional dressings, their use resulted in significantly higher clinical efficacy, improved skin condition scores (discolouration, erosion, tissue overgrowth/assessment, intervention, monitoring), lower complication rates, and greater patient satisfaction, offering a superior management strategy for this common postoperative complication.
