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Ostomy Complications: Parastomal Pyoderma Gangrenosum

October 15, 2017 | Drs. Nicole Lopez and Sonia Ramamoorthy


clinical-challenge.jpegApproximately 100,000 ostomies are performed annually and nearly 1,000,000 people live with ostomies in the U.S. Parastomal pyoderma gangrenosum (PPG) is an uncommon, but devastating ostomy related complication. In this Clinical Challenge, Dr. Nicole Lopez, Assistant Professor of Surgery, and Dr. Sonia Ramamoorthy, Professor of Surgery and Chief of the Division of Colon and Rectal Surgery, discuss care for a PPG-affect patient. The bottom line: treatment of PPG requires multidisciplinary care by surgeons, gastroenterologists, dermatologists, occasionally rheumatologists, and perhaps most importantly, a specialized team of ET nurses to properly manage the wound, and minimize further trauma to the skin.

Read the case (pdf)