Related Experiment Video
Updated: Jun 17, 2026
12:45
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Peristomal dermatology
1Ochsner Clinic Foundation Hospital, New Orleans, LA 70121, USA.
Clinics in Colon and Rectal Surgery
|December 17, 2009
Summary
Skin conditions around intestinal stomas are common. Peristomal pyoderma gangrenosum is rare and difficult to treat, often linked to inflammatory bowel disease.
Area of Science:
- Dermatology
- Gastroenterology
- Surgical complications
Background:
- Peristomal skin complications are frequent issues for patients with intestinal stomas.
- These conditions can significantly impact patient quality of life.
- Prompt recognition and treatment are crucial for managing stoma site issues.
Purpose of the Study:
- To highlight the challenges in diagnosing and treating peristomal pyoderma gangrenosum.
- To emphasize the association between peristomal pyoderma gangrenosum and underlying inflammatory bowel disease.
Main Methods:
- Literature review on peristomal skin conditions.
- Case study analysis of peristomal pyoderma gangrenosum.
- Clinical observation of patient outcomes.
Main Results:
- Peristomal pyoderma gangrenosum is an uncommon but severe peristomal dermatosis.
- Treatment is often challenging and requires a multidisciplinary approach.
- Successful management frequently necessitates addressing the underlying inflammatory bowel disease.
Conclusions:
- Peristomal pyoderma gangrenosum requires specialized dermatological and gastroenterological care.
- Early diagnosis and integrated treatment of associated inflammatory bowel disease are key to patient recovery.
Related Concept Videos
01:24Ostomy Care
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
01:27The Skin Microbiota
The human skin serves as a complex ecosystem inhabited by a diverse community of microorganisms, including bacteria, fungi, and viruses. This microbiome plays a critical role in maintaining skin health and defending against pathogenic invaders. The composition of microbial communities varies significantly across different regions of the body, influenced primarily by the local levels of moisture and sebum.Regional Variation in Skin MicrobiotaCutibacterium acnes predominantly colonizes sebaceous...
01:22Microbiome of the Eye
The human eye has a specialized microbiota that reflects its unique anatomical and immunological environment. This low-biomass microbial community predominantly colonizes the conjunctiva and eyelid margins, playing a vital role in ocular surface homeostasis and defense. Despite its proximity to the richly colonized facial skin, the ocular surface maintains a distinct microbial profile due to continuous mechanical and biochemical defense mechanisms.The conjunctival surface hosts fewer microbial...
01:11Papillary Dermis
Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen and...
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen and...