{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:48:15Z","timestamp":1782452895273,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Faecal incontinence is a complex condition with multifactorial aetiology and significant medical, social, psychological and economic implications. Stoma formation is typically considered a last resort, and evidence on outcomes remains limited. This study aimed to evaluate the characteristics, management and outcomes of patients undergoing stoma formation for faecal incontinence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective study was conducted in a tertiary unit, including patients with stoma formation for faecal incontinence between February 2011 and August 2023. Twenty\u2010one patients were identified, of whom 18 participated. Participants completed a 19\u2010item questionnaire, including a Colostomy Impact Score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighteen patients participated (15 female and 3 male) with a mean age of 67\u2009years (median 68). All had severe faecal incontinence affecting quality of life. Seventeen patients had a colostomy (6 loop and 10 end) and one had a loop ileostomy. Ten procedures were laparoscopic, four were trephine and four were open. The mean duration of symptoms prior to stoma formation was 100\u2009months. All had failed conservative treatment; additional treatments included sacral neuromodulation, transanal irrigation and anal sphincter repair. Time from specialist consultation to stoma ranged from 1 to 60\u2009months (mean 17\u2009months, median 7.5\u2009months). Parastomal hernia occurred in 15 patients, seven requiring multiple repairs. Overall, 78% reported improved quality of life and 83% wished for earlier surgery. Median Colostomy Impact Score was 11 and Decision Regret Scale was 13.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Stoma formation for refractory faecal incontinence can significantly improve quality of life. However, stoma\u2010related complications remain common and should be addressed during preoperative counselling and long\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70503","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T03:56:50Z","timestamp":1780286210000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of stoma for faecal incontinence"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6450-6463","authenticated-orcid":false,"given":"Stella","family":"Nikolaou","sequence":"first","affiliation":[{"name":"Sir Alan Park's Physiology Unit St Mark's the National Bowel Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5981-1359","authenticated-orcid":false,"given":"Blanca 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