Authors' objectives:

This study aims to assess the current evidence on stapled transanal rectal resection for obstructed defaecation syndrome.

Authors' recommendations: 1 Guidance 1.1 Current evidence on the safety and efficacy of stapled transanal rectal resection (STARR) for obstructed defaecation syndrome (ODS) does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research. 1.2 Clinicians wishing to undertake STARR for ODS should take the following actions. - Inform the clinical governance leads in their Trusts. - Ensure that patients understand the uncertainty about the procedure's safety and efficacy and provide them with clear written information. In addition, use of the Institute's Information for the public is recommended (available from www.nice.org.uk/IPG169publicinfo). - Audit and review clinical outcomes of all patients having STARR for ODS. 1.3 The studies are based on heterogenous groups of patients. Patient selection is important in clinical practice and should be clearly defined in future studies. 1.4 Publication of safety and efficacy outcomes will be useful, and the Institute may review the procedure upon publication of further evidence. A registry is in development by the Association of Coloproctology of Great Britain and Ireland, and clinicians are encouraged to enter patients into this registry (<url>www.acpgbi.org.uk</url>).

Authors' methods: Overview

Project Status: Completed

URL for project: http://www.nice.org.uk/page.aspx?o=308630

Year Published: 2006

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: England

Organisation Name: National Institute for Health and Care Excellence

Contact Address: Level 1A, City Tower, Piccadilly Plaza, Manchester, M1 4BT

Contact Name: nice@nice.nhs.uk

Contact Email: nice@nice.nhs.uk

Copyright: National Institute for Health and Clinical Excellence (NICE)