ReviewWorld journal of emergency surgery : WJES2023
Surgical management of ostomy complications: a MISSTO-WSES mapping review.
Review in World journal of emergency surgery : WJES, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06824623 (Multicenter Prospective Observational Study to Prevent the Risk of REadmission and DEhydration of Patients With ileoSTOmy in Elective Colorectal Surgery), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Multicenter Prospective Observational Study to Prevent the Risk of REadmission and DEhydration of Patients With ileoSTOmy in Elective Colorectal Surgery
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Safety and feasibility of early discharge (≤ 23 h) following loop ileostomy reversal: a systematic review and meta-analysis.International journal of colorectal disease · 2026Pooled it
- The impact of preoperative stoma education on postoperative outcomes for patients with new stomas after colorectal surgery: a systematic review and meta-analysis.Techniques in coloproctology · 2025Pooled it
- Effects of digital health interventions on self-care and quality of life in patients with an ostomy: A systematic review and meta-analysis.Asia-Pacific journal of oncology nursing · 2026Review
- 'Can't Escape'-Survivors' Perspectives and Experiences of Psychological Detachment While Living With a Stoma: A Descriptive Qualitative Study.Journal of advanced nursing · 2026Article
- Stapler-assisted extracorporeal revision for non-reducible prolapse of the efferent limb of a loop colostomy in advanced pelvic malignancy.Journal of surgical case reports · 2026Article
- Emergency left side colectomy and primary anastomosis with or without diverting stoma: a comparative study.International journal of colorectal disease · 2026Observational
- Impact of stoma revision surgery on quality of life: the STICK-II retrospective cohort study.Techniques in coloproctology · 2026Article
- The revisional burden of colostomy: a temporal analysis of risk, patterns, and survival.Techniques in coloproctology · 2026Article
- Comparison of continuous single-layer and traditional interrupted suturing techniques in stoma surgery: a retrospective single-center study.BMC surgery · 2026Article
- Article
- The impact of a three-dimensional interconnected continuity of care intervention on self-care capacity, negative emotional states, and quality of life in patients with ostomies.Frontiers in public health · 2026Article
- Full-Thickness Skin Transplantation Combined with Negative-Pressure Wound Therapy for a Refractory Peristomal Large Skin Ulcer Caused by Mucocutaneous Separation: A Case Report.Surgical case reports · 2026Article
- Stoma-Free Intersphincteric Resection in Low Rectal Cancer Without Radiotherapy: A Prospective Cohort Study on Safety and Recovery.Diseases of the colon and rectum · 2026Article
- Operative management of recurrent parastomal hernias after transversus abdominis release: a single-center experience.Surgical endoscopy · 2026Article
- Best Evidence Summary of Preoperative Management for Patients Undergoing Intestinal Stoma Surgery.Journal of multidisciplinary healthcare · 2026Review
- Best evidence summary for self-management of peristomal skin complications in patients with colorectal cancer and a stoma.Asia-Pacific journal of oncology nursing · 2025Review
- Improving delayed discharge in gastrointestinal surgery patients: An integrative review.International journal of nursing studies advances · 2025Review
- Article
- Management and outcome variability in hernia-related small bowel obstruction: insights from the SnapSBO study.BJS open · 2025Observational
- Advanced innovations in reducing anastomotic leak: a review of emerging biomaterial applications in colorectal surgery.International journal of colorectal disease · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 13 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe creation of an ileostomy or colostomy is a common surgical event, both in elective and in emergency context. The main aim of stoma creation is to prevent postoperative complications, such as the anastomotic leak. However, stoma-related complications can also occur and their morbidity is not negligible, with a rate from 20 to 70%. Most stomal complications are managed conservatively, but, when this approach is not resolutive, surgical treatment becomes necessary. The aim of this mapping review is to get a comprehensive overview on the incidence, the risk factors, and the management of the main early and late ostomy complications: stoma necrosis, mucocutaneous separation, stoma retraction, stoma prolapse, parastomal hernia, stoma stenosis, and stoma bleeding. MATERIAL AND
methodsA complete literature research in principal databases (PUBMED, EMBASE, SCOPUS and COCHRANE) was performed by Multidisciplinary Italian Study group for STOmas (MISSTO) for each topic, with no language restriction and limited to the years 2011-2021. An international expert panel, from MISSTO and World Society of Emergency Surgery (WSES), subsequently reviewed the different issues, endorsed the project, and approved the final manuscript.
conclusionStoma-related complications are common and require a step-up management, from conservative stoma care to surgical stoma revision. A study of literature evidence in clinical practice for stoma creation and an improved management of stoma-related complications could significantly increase the quality of life of patients with ostomy. Solid evidence from the literature about the correct management is lacking, and an international consensus is needed to draw up new guidelines on this subject.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.