CASE SERIESAdapted Crusting Technique in Children with Peristomal Lesions A Case SeriesSantos Monteiro, Ana Cristina RN; Barbosa Maia dos Santos, Maria Lucia MS; Souza, Marcia Aparecida RN; Caires de Oliveira Achili Ferreira, Juliana PhDAuthor Information At the Children’s Institute, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Brazil, Ana Cristina Santos Monteiro, RN, is a stoma therapist; Maria Lucia Barbosa Maia dos Santos, MS, RN, is Head Nurse, Pediatric Intensive Care Unit; Marcia Aparecida Souza, RN, is Nurse Referee of Hospital Medical Records; and Juliana Caires de Oliveira Achili Ferreira, PhD, is Clinical Research Center Coordinator. The authors have disclosed no financial relationships related to this article. Submitted January 13, 2020; accepted in revised form March 9, 2020. Advances in Skin & Wound Care: June 2020 - Volume 33 - Issue 6 - p 329-333 doi: 10.1097/01.ASW.0000661788.68292.81 Buy Metrics Abstract OBJECTIVE To describe the care of pediatric patients who had a gastrostomy and developed peristomal lesions and received a systematic single adapted crusting technique in a pediatric ICU in a tertiary Brazilian hospital. METHODS An analysis of six cases presenting traumatic, noninfectious peristomal lesions with ostium enlargement resulting in gastric residual leaks. All six patients received the same treatment over 7 to 15 days. RESULTS Lesion improvement was observed in all patients after 48 hours and considered attributable to the standard treatment recommended by ostomy professionals. CONCLUSIONS The adapted crusting technique was effective in the treatment of children with peristomal lesions. This technique may be beneficial to other patient and organizational outcomes such as improving safety of care, decreasing pain and discomfort, reducing nursing workload and hospital costs, and improving quality of life. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.