This topic is about finding a replacement for the Hollister 18323 closed-end colostomy pouches, which have been discontinued due to global supply-chain and sourcing issues. The person affected by this change is looking for a suitable alternative that will not cause skin rashes and will fit the same flange. Here are some helpful insights and advice:

1. The recommended replacement for the discontinued Hollister 18323 is the Hollister 18373. It's a good idea to contact Hollister directly to confirm this and to request samples.

2. Hollister's Secure Start program is a valuable resource. It offers product-matching assistance, samples, and ongoing support, which can be more helpful than relying solely on home-health services.

3. Hollister is discontinuing its entire Karaya line, but equivalent products are available in the CeraPlus line. The 18373 is the replacement for the 18323 in this new line.

4. When seeking assistance, many people find that calling Hollister provides quicker and more detailed help than other methods, though e-mail can also be effective.

5. It's important to note that home-health agencies might not always have specialized knowledge about ostomy products. Reaching out directly to manufacturers like Hollister or participating in peer forums can provide additional support and information.