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©2006 Baishideng Publishing Group Co.
World J Gastroenterol. May 28, 2006; 12(20): 3133-3137
Published online May 28, 2006. doi: 10.3748/wjg.v12.i20.3133
Published online May 28, 2006. doi: 10.3748/wjg.v12.i20.3133
Author | Design | Number of patients | Treatment | Summary |
Wolfson et al | Retrospective Review | 10 patients (8 with IBD), 5 with PPG | Patients with PPG received systemic steroids or IBD therapy. Other patients were treated with conservative measures, corticosteroid creams, wound care. | Patients with IBD should be treated systemically. Patients with other causes for ulceration should be evaluated by dermatology and receive local therapy. |
Last et al | Retrospective Review | 17 patients with Crohn's who developed 28 ulcers | Treatment included debridement, curettage, unroofing the ulcer complex, pouching of the stoma with Telfa strips in the ulcer base. | 6 patients did not respond to conservative management, and required relocation. |
Hughes et al | Retrospective Review | 7 patients | Topical clobetasol propionate used with intralesional injection of triamcinolone acetonide in seven patients. Three patients received an immunosuppressive agent (cyclosporine or mycophenolate). Oral dapsone was used in patients. | The underlying disease process must be treated along with local wound care management (i.e. the addition of a topical corticosteroid). |
Hayashi et al | Retrospective Review | 15 children with stomal or perineal skin ulceration | Used topical sucralfate after failure of other common first line agents. | Topical sucralfate can be soothing when other measures fail. |
- Citation: Yeo H, Abir F, Longo WE. Management of parastomal ulcers. World J Gastroenterol 2006; 12(20): 3133-3137
- URL: https://www.wjgnet.com/1007-9327/full/v12/i20/3133.htm
- DOI: https://dx.doi.org/10.3748/wjg.v12.i20.3133