Management of peri-ileostomy pyodrma gangrenous

DOI Web Site 1 Citations
  • Kumagai Eiko
    Department of Nursing,Tohoku University Hospital WOC(Wound,Ostomy ＆ Continence)Center,Tohoku University Hospital
  • Hirofuji Akemi
    Department of Nursing,Tohoku University Hospital
  • Sato Kiyomi
    Department of Nursing,Tohoku University Hospital
  • Takahashi Maki
    Department of Nursing,Tohoku University Hospital WOC(Wound,Ostomy ＆ Continence)Center,Tohoku University Hospital
  • Ogasawara Kimiyo
    Department of Nursing,Tohoku University Hospital WOC(Wound,Ostomy ＆ Continence)Center,Tohoku University Hospital
  • Shinada Hitomi
    ConvaTec.A Bristol-Myers Squibb Company,Scientific Affairs
  • Erikawa Masayo
    Muranaka Medical lnstrument Company
  • Funayama Yuji
    Department of Surgery,Division of OI＆Colorectal Surgery,Tohoku University Hospital
  • Sasaki lwao
    Department of Surgery,Division of OI＆Colorectal Surgery,Tohoku University Hospital

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  • 回腸ストーマ周囲に発生した壊疽性膿皮症のケア
  • カイチョウ ストーマ シュウイ ニ ハッセイ シタ エソセイ ノウ ヒショウ ノ ケア

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Abstract

To clarify the optimal treatment of peristomal pyoderma gangrenosum(PG),the medical records of fourteen patients with peristomal PG were analyzed in terms of the clinical diagnosis, operative procedures,time until diagnosis of PG,initial dose of prednisolone,period required for healing of PG,local treatment, patients’ complaints,and so on．In conclusion,at the onset of peristomal PG, early diagnosis and systemic administration of prednisoline proved to be necessary．In topical management,gentie skin care,topical treatment using cadexomer-iodine and prednisolon ointment,application of hydrocolloid dressing,drainage by cutting of skin barrie,and early change of one-piece stoma bag proved to be effective．

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