Chronic parastomal ulcers: spectrum of dermatoses.
Parastomal ulcers that develop after stoma surgery have reportedly been associated with recurrent inflammatory bowel disease and chronic infection. We report 13 patients with refractory parastomal ulcers, which occurred at mean of 11 years after surgery. Parastomal ulcers in eight patients were the...
| Publicado en: | Journal of ET Nursing Vol. 19; no. 3; pp. 85 - 91 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
1992 May-Jun
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107488656&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107488656 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10553045 DOS jtl: Journal of ET Nursing issn: 10553045 maglogo: N pubinfo: dt: 1992 May-Jun vid: 19 iid: 3 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 107488656 107488656 1992144378 NLM1350739 107488656 ppf: 85 ppct: 6 formats: tig: atl: Chronic parastomal ulcers: spectrum of dermatoses. aug: au: Ng CS Wolfsen HC Kozarek RA Brubacher LL Kayne AL sug: subj: Ostomy Adverse Effects Skin Ulcer Etiology Ostomy Care Inflammatory Bowel Diseases Complications Skin Ulcer Drug Therapy Skin Diseases Complications Enterostomal Therapy Nursing Case Control Studies Data Analysis Convenience Sample Crohn Disease Complications Colitis, Ulcerative Complications Dermatitis Complications Adult Male Female Human Adult: 19-44 years Male Female ab: Parastomal ulcers that develop after stoma surgery have reportedly been associated with recurrent inflammatory bowel disease and chronic infection. We report 13 patients with refractory parastomal ulcers, which occurred at mean of 11 years after surgery. Parastomal ulcers in eight patients were the result of dermatologic conditions (e.g., contact dermatitis, bullous pemphigoid, lichen sclerosus et atrophicus, eczema, or psoriasis) or contact ulcers from dermatitis of the skin around the stoma and faceplate pressure. These ulcers healed after treatment with topical medications at a mean of 4 weeks. Five patients with inflammatory bowel disease had pyoderma gangrenosum ulcerations, which healed with systemic treatment at a mean of 25 weeks. Thus nonpyoderma gangrenosum parastomal ulcerations that occur late after stoma surgery require early enterostomal therapy nursing intervention and dermatologic evaluation, since they respond rapidly to appropriate local therapy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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