{"id":3380,"date":"2025-05-26T22:07:43","date_gmt":"2025-05-26T22:07:43","guid":{"rendered":"https:\/\/www.eakinostomy.com\/?page_id=3380"},"modified":"2025-08-14T15:26:40","modified_gmt":"2025-08-14T15:26:40","slug":"granulomes-de-stomie","status":"publish","type":"page","link":"https:\/\/www.eakinostomy.com\/fr\/professionnels-de-sante\/granulomes-de-stomie\/","title":{"rendered":"Granulomes de stomie"},"content":{"rendered":"<div class=\"background-block relative overflow-hidden\" style=\"background-color: #f6f6f6\">\n        <div class=\"relative z-20\">\n        <div class=\"acf-innerblocks-container\">\n\n<div class=\"hero\">\n            \n    <div class=\"absolute w-full z-[39] pt-2\">\n        <div class=\"pt-2 container mx-auto relative breadcrumbs px-4 \">\n            <div class=\" flex items-center flex-wrap\">\n                <span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Home.\" href=\"https:\/\/www.eakinostomy.com\/fr\" class=\"home\" aria-current=\"page\"><span property=\"name\">Home<\/span><\/a><meta property=\"position\" content=\"1\"><\/span>            <\/div>\n        <\/div>\n    <\/div>\n        <div class=\"acf-innerblocks-container\">\n<div class=\"hero-slide glide__slide\">\n    <div class=\"acf-innerblocks-container\">\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h1 class=\"wp-block-heading has-purple-600-color has-text-color has-link-color wp-elements-706cc05a13f5a44be793ba0b6d66ef73\"><strong><strong>Comment g\u00e9rer les granulomes en stomath\u00e9rapie\u202f?<\/strong><\/strong><\/h1>\n\n\n\n<p>Un granulome est une masse de tissu d\u2019hypergranulation qui se forme sur ou autour de la stomie d\u2019un patient.<\/p>\n<\/div><\/div>\n\n\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1870\" height=\"1326\" src=\"https:\/\/www.eakinostomy.com\/wp-content\/uploads\/2025\/05\/granulomas.png\" alt=\"\" class=\"wp-image-2683\" srcset=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/granulomas.png 1870w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/granulomas-300x213.png 300w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/granulomas-1024x726.png 1024w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/granulomas-150x106.png 150w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/granulomas-768x545.png 768w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/granulomas-1536x1089.png 1536w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/granulomas-600x425.png 600w\" sizes=\"auto, (max-width: 1870px) 100vw, 1870px\" \/><\/figure>\n\n<\/div>\n<\/div>\n\n<\/div>\n    <div class=\"glide-navigation-container\">\n        <div class=\"glide-navigation hidden\">\n            <div class=\"glide__bullets\" data-glide-el=\"controls[nav]\"><\/div>\n            <div class=\"glide__arrows\" data-glide-el=\"controls\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"spacer\n    h-8    lg:h-12\"\n>\n<\/div>\n\n\n\n<p class=\"text-xl lg:text-xl\">La cause exacte est souvent inconnue,<sup>2 <\/sup>mais les infections, les inflammations, les agents irritants et la pr\u00e9sence de corps \u00e9trangers peuvent tous jouer un r\u00f4le dans son d\u00e9veloppement. Parmi les facteurs, nous pouvons citer\u202f:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-purple-checkmark\">\n<li class=\"text-xl lg:text-xl\"><strong>Sutures <\/strong>&#8211; fragments retenus ou r\u00e9action au mat\u00e9riel de suture<sup>1,2,4<\/sup>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>Traumatismes r\u00e9p\u00e9t\u00e9s<\/strong> dus \u00e0 la d\u00e9coupe de l\u2019appareillage de stomie et\/ou \u00e0 la technique de mise en place\/de retrait de l\u2019appareillage<sup>2,5<\/sup>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>Irritation chronique<\/strong> due \u00e0 l\u2019exposition \u00e0 des mati\u00e8res f\u00e9cales<sup>2,5,6,7<\/sup><\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>V\u00eatements ou ceintures serr\u00e9s<\/strong> qui cr\u00e9ent une friction sur et autour de la zone mucocutan\u00e9e\/p\u00e9ristomiale.<sup>2<\/sup>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>R\u00e9action allergique<\/strong> aux mat\u00e9riaux de la poche de stomie<sup>5<\/sup><\/li>\n<\/ul>\n\n\n<div class=\"spacer\n    h-8    lg:h-8\"\n>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-teal-600-color has-text-color has-link-color wp-elements-5d726ad84d0664c7a73f114b3ae575f2 text-center lg:text-center\"><strong>Conseils pour emp\u00eacher l\u2019apparition ou traiter les granulomes<\/strong><\/h2>\n\n\n\n<p class=\"text-xl lg:text-xl\">Bien que le nitrate d\u2019argent (dont la fonction permet de caut\u00e9riser les granulomes) soit l\u2019option th\u00e9rapeutique la plus reconnue, vous pouvez \u00e9galement orienter vos patients vers d\u2019autres alternatives, permettant de soulager l\u2019irritation et de pr\u00e9venir l\u2019apparition de granulomes. Voici quelques conseils pour pr\u00e9venir leur apparition\u202f:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-teal-checkmark\">\n<li class=\"text-xl lg:text-xl\"><strong>Diminuer les frictions et les traumatismes (pour pr\u00e9venir les saignements)<sup>2<\/sup><\/strong>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>Veiller \u00e0 ce que l\u2019appareillage pour la stomie soit bien ajust\u00e9 ; revoir la d\u00e9coupe de l\u2019appareillage si besoin, ou utiliser un anneau protecteur<sup>2,3,4<\/sup><\/strong>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>Appliquer une p\u00e2te protectrice sur la jonction muco-cutan\u00e9e<sup>2<\/sup><\/strong>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>\u00c9viter les v\u00eatements\/ceintures serr\u00e9s sur la zone stomale et p\u00e9ristomiale<sup>2<\/sup><\/strong>&nbsp;<\/li>\n<\/ul>\n\n\n<div class=\"spacer\n    h-8    lg:h-8\"\n>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading has-purple-600-color has-text-color has-link-color wp-elements-cea1765252edbb91bf51f3009b758f47 text-center lg:text-center\"><strong>Conseils et ressources<\/strong><\/h3>\n\n\n\n<p class=\"text-center lg:text-center text-xl lg:text-xl\">Nous avons rassembl\u00e9 les r\u00e9sultats de recherches actuelles, afin de vous aider, vous et vos patients, \u00e0 traiter les granulomes en stomath\u00e9rapie. Vous trouverez \u00e9galement des conseils visant \u00e0 pr\u00e9venir leur apparition, ainsi qu\u2019une s\u00e9lection de produits innovants <strong>eakin<sup>\u00ae<\/sup><\/strong>\u202fqui pourraient vous \u00eatre utiles.<\/p>\n\n\n <div class=\"row\n                container mx-auto        px-4 py-0 lg:px-4 lg:py-0    \">\n    <div class=\"acf-innerblocks-container\">\n\n\n<div class=\"card mx-auto\">\n        <div class=\"card-body\">\n                    <h4>Brochure pour en savoir plus sur les anneaux eakin<sup>\u00ae<\/sup>\u202fet les granulomes <\/h4>\n                <div class=\"flex-1\">\n                                <p>D\u00e9couvrez comment les anneaux\u202feakin<sup>\u00ae<\/sup>\u202font aid\u00e9 les infirmi\u00e8res stomath\u00e9rapeutes \u00e0 faire face aux difficult\u00e9s pos\u00e9es par la pr\u00e9sence de granulomes en stomath\u00e9rapie.<\/p>\n                    <\/div>\n                    <a class=\"btn btn-gradient\" href=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/08\/eakin-seals-and-granulomas-digital-FR.pdf\">\n                Lire ici            <\/a>\n            <\/div>\n<\/div>\n\n\n\n\n<div class=\"card mx-auto\">\n        <div class=\"card-body\">\n                    <h4>eakin\u202ffreeseal<sup>\u00ae<\/sup> pour la gestion des granulomes, \u00e9tude de cas <\/h4>\n                <div class=\"flex-1\">\n                                <p>Voir les r\u00e9sultats du passage \u00e0 un eakin freeseal<sup>\u00ae<\/sup>\u202fsur la qualit\u00e9 de vie d\u2019un patient qui pr\u00e9sentait des complications cutan\u00e9es p\u00e9ristomiales et d\u2019hypergranulation.<\/p>\n                    <\/div>\n                    <a class=\"btn btn-gradient\" href=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/08\/eakin-freeseal-CS1.22-FR.pdf\">\n                En savoir plus            <\/a>\n            <\/div>\n<\/div>\n\n\n\n\n<div class=\"card mx-auto\">\n        <div class=\"card-body\">\n                    <h4>eakin<sup>\u00ae<\/sup> Cohesive \u00e9tude de cas stomawrap  <\/h4>\n                <div class=\"flex-1\">\n                                <p>D\u00e9couvrez comment notre anneau eakin<sup>\u00ae <\/sup>Cohesive \u202fstomawrap a efficacement r\u00e9duit les fuites de ce patient, ce qui lui a permis de se changer deux fois moins souvent, malgr\u00e9 une stomie difficile.<\/p>\n                    <\/div>\n                    <a class=\"btn btn-gradient\" href=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/08\/eakin-Cohesive-Seals-CS2.21-FR-1.pdf\">\n                Lire ici            <\/a>\n            <\/div>\n<\/div>\n\n<\/div>\n<\/div>\n\n\n<div class=\"spacer\n    h-12    lg:h-20\"\n>\n<\/div>\n\n\n\n<p class=\"text-base lg:text-base\"><strong>R\u00e9f\u00e9rences<\/strong><br>1. Beitz, J. M., &amp; Colwell, J. C. (2014). Stomal and peristomal complications: Prioritizing management approaches in adults. Journal of Wound, Ostomy and Continence Nursing, 41(5), 445\u2013454.<br>2. Johnson, T. (2010). Problematic stomas\u2026Stoma granulomas. Colostomy Association Tidings Magazine.<br>3. Salvadalena, G. (2016). Peristomal skin conditions. In J. E. Carmel, J. C. Colwell, &amp; M. T. Goldberg (Eds.) Wound, Ostomy and Continence Nurses Society core curriculum: Ostomy management (pp. 176\u2013190). Philadelphia, PA: Wolters Kluwer.<br>4. Wound, Ostomy and Continence Nurses Society. (2010). Management of the patient with a fecal ostomy: Best practice guidelines for clinicians. Mt. Laurel, NJ: Author.<br>5. Dukes, S., Lowther, C., Martin, T., &amp; Osborne, D. (2010). Guidelines for treating stoma granulomas at the mucocutaneous junction. Gastrointestinal Nursing, 8(1), 16\u201321.<br>6. Burch, J. (2014). Care of patients with peristomal skin complications. Nursing Standard, 28(37), 51\u201357. http:\/\/dx.doi.org\/10.7748\/ns.28.37.51.e8317<br>7. Lyon, C. C., &amp; Beck, M. H. (2012). Chapter 97. Skin problems in ostomates. In L. A. Goldsmith, S. I. Katz, B. A. Gilchrest, A. S. Paller, D. J. Leffell, &amp; K. Wolff (Eds.), Fitzpatrick\u2019s Dermatology in General Medicine, 8e.<\/p>\n\n\n<div class=\"need-help\">\n    <div class=\"container mx-auto flex flex-col lg:flex-row lg:justify-between lg:max-w-[1162px] lg:items-center\">\n        <div class=\"content lg:text-lg\">\n            <h4 class=\"text-purple-600\">Des produits de soin de stomie sur lesquels vous pouvez compter<\/h4>\n            <picture class=\"lg:hidden block mb-6\">\n                <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories.jpg\" srcset=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-300x200.jpg 300w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-1024x683.jpg 1024w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-150x100.jpg 150w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-768x512.jpg 768w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-1536x1024.jpg 1536w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-2048x1366.jpg 2048w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-600x400.jpg 600w\" alt=\"\">\n            <\/picture>\n            <div class=\"my-4\">\n                <p><span class=\"TextRun SCXW136879129 BCX8\" lang=\"FR-FR\" xml:lang=\"FR-FR\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW136879129 BCX8\">Des <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">appareillag<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">es<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">, <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">aux <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">anneaux <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">protecteurs fiables<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\"> et <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">aux accessoires innovants, notre gamme de produits <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW136879129 BCX8\">eaki<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW136879129 BCX8\">n<\/span><\/span><span class=\"TextRun SCXW136879129 BCX8\" lang=\"FR-FR\" xml:lang=\"FR-FR\" data-contrast=\"none\"><span class=\"NormalTextRun Superscript SCXW136879129 BCX8\" data-fontsize=\"11\">\u00ae\u00a0<\/span><\/span><span class=\"TextRun SCXW136879129 BCX8\" lang=\"FR-FR\" xml:lang=\"FR-FR\" data-contrast=\"none\"> <span class=\"NormalTextRun SCXW136879129 BCX8\">compren<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">d tout <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">ce<\/span> <span class=\"NormalTextRun SCXW136879129 BCX8\">dont<\/span> <span class=\"NormalTextRun SCXW136879129 BCX8\">vous<\/span> <span class=\"NormalTextRun SCXW136879129 BCX8\">avez<\/span> <span class=\"NormalTextRun SCXW136879129 BCX8\">besoin<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\"> pour <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">accompagner<\/span> <span class=\"NormalTextRun SCXW136879129 BCX8\">vos<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\"> patients apr\u00e8s <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">leur<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\"> sortie de <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">l&#8217;h\u00f4pital<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">. Vous <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">pouvez<\/span> <\/span><span class=\"TextRun Highlight SCXW136879129 BCX8\" lang=\"FR-FR\" xml:lang=\"FR-FR\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW136879129 BCX8\">demander <\/span><span class=\"NormalTextRun SCXW136879129 BCX8\">des \u00e9chantillons de produits<\/span><\/span> <span class=\"TextRun Highlight SCXW136879129 BCX8\" lang=\"FR-FR\" xml:lang=\"FR-FR\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW136879129 BCX8\">directement aupr\u00e8s d\u2019<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW136879129 BCX8\">eakin<\/span><span class=\"NormalTextRun SCXW136879129 BCX8\"> ou par l\u2019interm\u00e9diaire de votre repr\u00e9sentant local<\/span><\/span> <span class=\"TextRun Highlight SCXW136879129 BCX8\" lang=\"FR-FR\" xml:lang=\"FR-FR\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW136879129 BCX8\">pour constater la diff\u00e9rence par vous-m\u00eame. <\/span><\/span><\/p>\n            <\/div>\n            <div class=\"flex flex-col gap-4 pt-4 lg:flex-row\">\n                                                            <a href=\"https:\/\/www.eakinostomy.com\/fr\/nos-produits\/\" class=\"btn btn-primary w-full text-center lg:w-fit\">\n                            Voir les produits                        <\/a>\n                                                <\/div>\n        <\/div>\n        <div class=\"hidden lg:block\">\n            <picture>\n                <img decoding=\"async\" src=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories.jpg\" srcset=\"https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-300x200.jpg 300w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-1024x683.jpg 1024w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-150x100.jpg 150w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-768x512.jpg 768w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-1536x1024.jpg 1536w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-2048x1366.jpg 2048w, https:\/\/www.eakinostomy.com\/fr\/wp-content\/uploads\/sites\/15\/2025\/05\/accessories-600x400.jpg 600w\" alt=\"\">\n            <\/picture>\n        <\/div>\n    <\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La cause exacte est souvent inconnue,2 mais les infections, les inflammations, les agents irritants et la pr\u00e9sence de corps \u00e9trangers peuvent tous jouer un r\u00f4le dans son d\u00e9veloppement. Parmi les facteurs, nous pouvons citer\u202f: Conseils pour emp\u00eacher l\u2019apparition ou traiter les granulomes Bien que le nitrate d\u2019argent (dont la fonction permet de caut\u00e9riser les granulomes) [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":1241,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":true,"footnotes":""},"class_list":["post-3380","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/pages\/3380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/comments?post=3380"}],"version-history":[{"count":0,"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/pages\/3380\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/pages\/1241"}],"wp:attachment":[{"href":"https:\/\/www.eakinostomy.com\/fr\/wp-json\/wp\/v2\/media?parent=3380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}