Italian guidelines for the surgical management of enteral stomas in adults

Multidisciplinary Italian Study group for STOmas (MISSTO)

Research output: Contribution to journalReview article

Abstract

BACKGROUND: Worldwide, stomas represent a medical and social problem. Data from the literature on stoma management are extensive but not homogeneous. In Italy, no guidelines exist for this topic. Thus, clear and comprehensive clinical guidelines based on evidence-based data and best practice are need. In 2018, the Multidisciplinary Italian Study group for STOmas, called MISSTO, was founded. The aim was to elaborate guidelines for practice management of enteral and urinary stomas in adults.

METHODS: A systematic review of the literature was performed using PubMed, National Guideline Clearinghouse, and other databases. The research included guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation", "stoma creation", "stoma complications", "stoma care", and "stoma reversal". The systematic review was performed for each topic, and studies were evaluated according to the GRADE system, AGREE II tool.

RESULTS: Recommendations were elaborated in the form of statements with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care was held. After discussing, correcting, validating, or eliminating the statements by the experts, the final version of the guidelines was elaborated and prepared for publication. This manuscript is focused on statements on the surgical management of enteral stomas.

CONCLUSIONS: These guidelines are the first Italian guidelines on multidisciplinary management of enteral stomas with the aim of assisting surgeons during stoma management and care.

Original languageEnglish
Pages (from-to)1037-1056
Number of pages20
JournalTechniques in Coloproctology
Volume23
Issue number11
Early online dateOct 12 2019
DOIs
Publication statusPublished - Nov 2019

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Small Intestine
Guidelines
Evidence-Based Practice
Practice Management
Social Problems
Practice Guidelines
PubMed
Italy
Publications
Meta-Analysis
Cohort Studies
Randomized Controlled Trials
Databases
Research

Keywords

  • Colostomy
  • Enterostomy
  • Ileostomy
  • Ostomy
  • Stoma
  • Surgery

Cite this

Italian guidelines for the surgical management of enteral stomas in adults. / Multidisciplinary Italian Study group for STOmas (MISSTO).

In: Techniques in Coloproctology, Vol. 23, No. 11, 11.2019, p. 1037-1056.

Research output: Contribution to journalReview article

Multidisciplinary Italian Study group for STOmas (MISSTO) 2019, 'Italian guidelines for the surgical management of enteral stomas in adults', Techniques in Coloproctology, vol. 23, no. 11, pp. 1037-1056. https://doi.org/10.1007/s10151-019-02099-3
Multidisciplinary Italian Study group for STOmas (MISSTO). / Italian guidelines for the surgical management of enteral stomas in adults. In: Techniques in Coloproctology. 2019 ; Vol. 23, No. 11. pp. 1037-1056.
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author = "F Ferrara and D Parini and A Bondurri and M Veltri and M Barbierato and F Pata and F Cattaneo and A Tafuri and Cristiana Forni and G Roveron and G Rizzo and {Multidisciplinary Italian Study group for STOmas (MISSTO)}",
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AU - Ferrara, F

AU - Parini, D

AU - Bondurri, A

AU - Veltri, M

AU - Barbierato, M

AU - Pata, F

AU - Cattaneo, F

AU - Tafuri, A

AU - Forni, Cristiana

AU - Roveron, G

AU - Rizzo, G

AU - Multidisciplinary Italian Study group for STOmas (MISSTO)

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N2 - BACKGROUND: Worldwide, stomas represent a medical and social problem. Data from the literature on stoma management are extensive but not homogeneous. In Italy, no guidelines exist for this topic. Thus, clear and comprehensive clinical guidelines based on evidence-based data and best practice are need. In 2018, the Multidisciplinary Italian Study group for STOmas, called MISSTO, was founded. The aim was to elaborate guidelines for practice management of enteral and urinary stomas in adults.METHODS: A systematic review of the literature was performed using PubMed, National Guideline Clearinghouse, and other databases. The research included guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation", "stoma creation", "stoma complications", "stoma care", and "stoma reversal". The systematic review was performed for each topic, and studies were evaluated according to the GRADE system, AGREE II tool.RESULTS: Recommendations were elaborated in the form of statements with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care was held. After discussing, correcting, validating, or eliminating the statements by the experts, the final version of the guidelines was elaborated and prepared for publication. This manuscript is focused on statements on the surgical management of enteral stomas.CONCLUSIONS: These guidelines are the first Italian guidelines on multidisciplinary management of enteral stomas with the aim of assisting surgeons during stoma management and care.

AB - BACKGROUND: Worldwide, stomas represent a medical and social problem. Data from the literature on stoma management are extensive but not homogeneous. In Italy, no guidelines exist for this topic. Thus, clear and comprehensive clinical guidelines based on evidence-based data and best practice are need. In 2018, the Multidisciplinary Italian Study group for STOmas, called MISSTO, was founded. The aim was to elaborate guidelines for practice management of enteral and urinary stomas in adults.METHODS: A systematic review of the literature was performed using PubMed, National Guideline Clearinghouse, and other databases. The research included guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation", "stoma creation", "stoma complications", "stoma care", and "stoma reversal". The systematic review was performed for each topic, and studies were evaluated according to the GRADE system, AGREE II tool.RESULTS: Recommendations were elaborated in the form of statements with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care was held. After discussing, correcting, validating, or eliminating the statements by the experts, the final version of the guidelines was elaborated and prepared for publication. This manuscript is focused on statements on the surgical management of enteral stomas.CONCLUSIONS: These guidelines are the first Italian guidelines on multidisciplinary management of enteral stomas with the aim of assisting surgeons during stoma management and care.

KW - Colostomy

KW - Enterostomy

KW - Ileostomy

KW - Ostomy

KW - Stoma

KW - Surgery

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DO - 10.1007/s10151-019-02099-3

M3 - Review article

C2 - 31606801

VL - 23

SP - 1037

EP - 1056

JO - Techniques in Coloproctology

JF - Techniques in Coloproctology

SN - 1123-6337

IS - 11

ER -