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barrier ring, ileostomy, ostomy appliance, ostomy accessories, ostomy care, peristomal skin



  1. Quigley, Mary CNS
  2. Hannigan, Ailish PhD, BSc
  3. Dowling, Catherine CNS
  4. Stuart, AnneMarie CNS
  5. McGovern, Siobhan CNS
  6. Untoy, Larry CNS
  7. Joyce, Myles MD, MMedSci, FRCS (Gen)
  8. Larkin, John PhD, FRCSI
  9. Kavanagh, Dara MCh, FRCSI


OBJECTIVE: To determine the performance and user experience of a novel ostomy barrier ring over a 4-week period.


METHODS: This single-arm investigation conducted across three clinical sites included 25 adult participants with an ileostomy for 3 months or longer. The participants used their standard ostomy pouching appliance along with a novel barrier ring for a period of 4 weeks. Skin condition was assessed using the Ostomy Skin Tool. Change in skin condition over the study period was recorded for each participant. The participants' experience in using the novel barrier ring was measured using a five-point Likert-type scale.


RESULTS: Twenty of the 25 participants (80%) completed the trial. Of those participants, the median Ostomy Skin Tool score at both the beginning (range, 0-8) and end was 0 (range, 0-6). In terms of skin condition, 7 participants experienced an improvement in skin condition, 11 experienced no change, and 2 got worse. A median score of 5 out of 5 was recorded for all questions relating to user experience.


CONCLUSIONS: Although not statistically significant, there was a clear trend toward improvements in peristomal skin condition using the novel barrier ring, even for participants who were already using a barrier ring. User feedback was positive with respect to comfort, device handling, and the perception of the device's ability to protect the skin. Further, most participants who already used a barrier ring indicated that the novel barrier ring would result in a longer wear time.