Mathilde Aubert , Etienne Buscail , Emilie Duchalais , Antoine Cazelles , Maxime Collard , Diane Charleux-Muller , Florence Jeune , Alexandre Nuzzo , Alexandra Pellegrin , Luca Theuil , Amandine Toutain , Bertrand Trilling , Laurent Siproudhis , Guillaume Meurette , Jérémie H. Lefevre , Léon Maggiori , Diane Mege , sous l’égide de la Société nationale française de coloproctologie (SNFCP) et de la Société française de chirurgie digestive (SFCD)
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引用次数: 0
Abstract
Aim
Digestive stoma are frequently performed. The last French guidelines have been published twenty years ago. Our aim was to update French clinical practice guidelines for the perioperative management of digestive stoma and stoma-related complications.
Methods
A systematic literature review of French and English articles published between January 2000 and May 2022 was performed. Only digestive stoma for fecal evacuation in adults were considered. Stoma in children, urinary stoma, digestive stoma for enteral nutrition, and rare stoma (Koch, perineal) were not included.
Results
Guidelines include the surgical landmarks to create digestive stoma (ideal location, mucocutaneous anastomosis, utility of support rods, use of prophylactic mesh), the perioperative clinical practice guidelines (patient education, preoperative ostomy site marking, postoperative equipment, prescriptions, and follow-up), the management of early stoma-related complications (difficulties for nursing, high output, stoma necrosis, retraction, abscess and peristomal skin complications), and the management of late stoma-related complications (stoma prolapse, parastomal hernia, stoma stenosis, late stoma retraction). A level of evidence was assigned to each statement.
Conclusion
These guidelines will be very useful in clinical practice, and allow to delete some outdated dogma.
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