Obstructed defaecation syndrome: European consensus guidelines on the surgical management

A Picciariello; P R O'Connell; D Hahnloser; G Gallo; A Munoz-Duyos; O Schwandner; P Sileri; G Milito; S Riss; P A Boccasanta; G Naldini; A Arroyo; F de laPortilla; P Tsarkov; B Roche; C Isbert; M Trompetto; A d'Hoore; K Matzel; E Xynos; L Lundby; C Ratto; E Consten; A Infantino; Y Panis; G Terrosu; E Espin; J-L Faucheron; A Guttadauro; M Adamina; P A Lehur; D F Altomare

doi:10.1093/bjs/znab123

Obstructed defaecation syndrome: European consensus guidelines on the surgical management

Br J Surg. 2021 Oct 23;108(10):1149-1153. doi: 10.1093/bjs/znab123.

Authors

A Picciariello¹, P R O'Connell², D Hahnloser³, G Gallo⁴, A Munoz-Duyos⁵, O Schwandner⁶, P Sileri⁷, G Milito⁸, S Riss⁹, P A Boccasanta¹⁰, G Naldini¹¹, A Arroyo¹², F de laPortilla¹³, P Tsarkov¹⁴, B Roche¹⁵, C Isbert¹⁶, M Trompetto¹⁷, A d'Hoore¹⁸, K Matzel¹⁹, E Xynos²⁰, L Lundby²¹, C Ratto²², E Consten²³, A Infantino²⁴, Y Panis²⁵, G Terrosu²⁶, E Espin²⁷, J-L Faucheron²⁸, A Guttadauro²⁹, M Adamina³⁰, P A Lehur³¹, D F Altomare¹

Affiliations

¹ Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari, Italy.
² Centre for Colorectal Disease, St Vincent's University Hospital, University College Dublin, Dublin, Ireland.
³ Department of Visceral Surgery, University Hospital Lausanne, Lausanne, Switzerland.
⁴ Department of Medical and Surgical Sciences, University of Catanzaro, Catanzaro, Italy.
⁵ Department of General Surgery, Colorectal Unit, Hospital Universitari MútuaTerrassa, Terrassa, Barcelona, Spain.
⁶ Department of Proctology, Krankenhaus Barmherzige Brüder, Regensburg, Germany.
⁷ Department of Surgery, Università Vita Salute San Raffaele, Milano, Italy.
⁸ Department of Surgery, Tor Vergata University, Rome, Italy.
⁹ Department of Surgery, Division of General Surgery, Medical University Vienna, Vienna, Austria.
¹⁰ Istituto Humanitas Gavazzeni & Castelli, Proctology and Perineology Surgical Unit, Bergamo, Italy.
¹¹ Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy.
¹² Department of General Surgery, Colorectal Unit, Elche University Hospital, Miguel Hernández University, Alicante, Spain.
¹³ Gastrointestinal Surgery Department, Coloproctology Unit, Virgen del Rocio University Hospital, Seville, Spain.
¹⁴ I. M. Sechenov First Moscow State Medical University (Sechenov University), Clinic of Coloproctology and Minimally Invasive Surgery, Moscow, Russia.
¹⁵ Division of Digestive Surgery, Proctology Unit, University Hospitals of Geneva, Geneva, Switzerland.
¹⁶ Department of General, Gastrointestinal and Colorectal Surgery, Amalie Sieveking Hospital, Hamburg, Germany.
¹⁷ Department of Colorectal Surgery, Santa Rita Clinic, Vercelli, Italy.
¹⁸ Department of Abdominal Surgery, UZ Leuven, Leuven, Belgium.
¹⁹ Chirurgische Klinik, Universität Erlangen, Erlangen, Germany.
²⁰ Department of Surgery, Creta Interclinic Hospital of Heraklion, Heraklion, Greece.
²¹ Department of Surgery, Aarhus University Hospital, Aarhus, Denmark.
²² Proctology Unit, Fondazione Policlinico Universitario 'A. Gemelli' IRCCS, Rome, Italy.
²³ Department of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.
²⁴ Department of Surgery, General Surgery Unit, Santa Maria dei Battuti Hospital, Pordenone, Italy.
²⁵ Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Université Paris VII, Clichy, France.
²⁶ General Surgery and Transplantation Unit, Department of Medicine, University of Udine, Udine, Italy.
²⁷ Department of Surgery, Hospital Universitari Vall d'Hebrón, Barcelona, Spain.
²⁸ Department of Surgery, Colorectal Unit, Michallon University Hospital, Grenoble, France.
²⁹ General Surgery Department, University of Milano-Bicocca, Istituti Clinici Zucchi, Monza, Italy.
³⁰ Department of Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland.
³¹ Coloproctology Unit, Ospedale Regionale di Lugano, Lugano, Switzerland.

PMID: 33864061
DOI: 10.1093/bjs/znab123

No abstract available

Plain language summary

Clinical decision-making in the treatment of patients with obstructed defaecation remains controversial and no international guidelines have been provided so far. This study reports a consensus among European opinion leaders on the management of obstructed defaecation in different possible clinical scenarios.

Publication types

Consensus Development Conference
Practice Guideline

MeSH terms

Algorithms
Clinical Decision-Making*
Constipation / diagnosis*
Constipation / physiopathology
Constipation / surgery*
Defecation*
Humans
Intestinal Obstruction / diagnosis*
Intestinal Obstruction / physiopathology
Intestinal Obstruction / surgery*
Syndrome