Bowel preparation for colorectal surgery

@article{Zmora2001BowelPF,
  title={Bowel preparation for colorectal surgery},
  author={Oded Zmora and Alon J. Pikarsky and Steven D. Wexner},
  journal={Diseases of the Colon \& Rectum},
  year={2001},
  volume={44},
  pages={1537-1549}
}
PURPOSE: The aim of this study was to assess recent literature regarding bowel preparation for colonoscopy and surgery. METHODS: The study was conducted by an Index Medicus English-language search of articles relevant to both oral mechanical and parenteral and oral antibiotic preparation for elective colorectal surgery and mechanical bowel preparation for colonoscopy. The study period was from 1975 to 2000. In addition, studies of elective colorectal surgery without mechanical bowel preparation… Expand
Benefit of mechanical bowel preparation prior to elective colorectal surgery: current insights
TLDR
Current best evidence suggests that colorectal resection should be preceded by a combination of oral antibiotics, mechanical bowel preparation and intravenous antibiotics at induction. Expand
Oral Colorectal Cleansing Preparations in Adults
TLDR
No bowel preparation method meets the ideal criteria for bowel cleansing prior to colonoscopy, however, polyethylene glycol-electrolyte lavage solution (PEGELS) and sodium phosphate are the most commonly used bowel preparations before Colonoscopy and colon surgery. Expand
Preparation with Mechanical Bowel Cleansing or/and Oral Antibiotics orNothing for Elective Colorectal Surgery: Two-Two-Arm MulticentreRandomised Controlled Studies (MECCLANT âÂÂC and âÂÂR Trials)
TLDR
It is hypothesised that administration of oral antibiotics only, and not mechanical bowel preparation, is the main factor that prevents SSI after elective colorectal surgery. Expand
Mechanical Bowel Preparation for Elective Colon and Rectal Surgery
TLDR
A multicenter North American study is needed to change this time-honored surgical practice, showing no difference in the rate of anastomotic leak, wound infection, or other complications between patients who had preoperative mechanical bowel preparation, and those who had not. Expand
Mechanical bowel preparation for elective colorectal surgery: a meta-analysis.
TLDR
There is no evidence to support the use of MBP in patients undergoing elective colorectal surgery, and available data tend to suggest that MBP could be harmful with respect to the incidence of anastomotic leak and does not reduce the probability of septic complications. Expand
Mechanical and Antibacterial Bowel Preparation in Colon and Rectal Surgery
TLDR
A preoperative mechanical and antibacterial bowel regimen serves as the cornerstone of modern elective colorectal surgery, and these regimens now comprise three therapeutic directives. Expand
An Open-Label Prospective Randomized Controlled Trial of Mechanical Bowel Preparation vs Nonmechanical Bowel Preparation in Elective Colorectal Surgery: Personal Experience
TLDR
Both methods of bowel preparation were equally well tolerated, and there was no statistically significant difference in the incidence of postoperative complications or mortality between the two groups. Expand
Mechanical bowel preparation in elective open colon surgery
TLDR
Mechanical bowel preparation in elective open colon surgery does not reduce the rate of anastomotic leak or wound infection nor does it reduce peritoneal bacterial contamination, therefore it is superfluous and should be abandoned. Expand
Does mechanical bowel preparation have a role in preventing postoperative complications in elective colorectal surgery?
TLDR
There is limited evidence in the literature to support the use of MBP in patient undergoing elective colorectal surgery, and available data tend to suggest that MBP could be harmful with respect to the incidence of anastomotic leak. Expand
Elective intestinal operations in infants and children without mechanical bowel preparation: a pilot study.
TLDR
It is suggested that omitting MBP before elective intestinal operations in infants and children carries no increased risk of infectious or anastomotic complications and may reduce health care costs and inconvenience to patients. Expand
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References

SHOWING 1-10 OF 120 REFERENCES
Mechanical bowel preparation for elective colorectal surgery
TLDR
Both oral solutions proved to be equally effective and safe for elective colorectal surgery, but patient tolerance of the small volume of NaP demonstrated a clear advantage over the traditional PEG solution. Expand
Bowel preparation with oral polyethylene glycol electrolyte solutionvs. no preparation in elective open colorectal surgery
TLDR
Preoperative bowel preparation seems to offer no benefit in elective open colorectal surgery, with no difference in restoration of bowel function. Expand
Is mechanical bowel preparation really necessary for elective left sided colon and rectal surgery?
TLDR
It is concluded that the role of MBP in the era of systemic antibiotics must be questioned and a prospective randomised multicenter trial recruiting an adequate number of patients undergoing elective left sided colorectal procedures would clarify this long standing debate. Expand
Requirement for bowel preparation in colorectal surgery
TLDR
Bowel preparation does not influence outcome after elective colorectal surgery and seven clinical anastomotic leaks occurred after low anterior resection, similar in the two groups. Expand
Mechanical Bowel Preparation for Elective Colorectal Surgery: A Prospective, Randomized, Surgeon-Blinded Trial Comparing Sodium Phosphate and Polyethylene Glycol-Based Oral Lavage Solutions
TLDR
Both oral solutions proved to be equally effective and safe, however, patient tolerance of the small volume of NaP demonstrated a clear advantage over the traditional PEG, and surgeons scored Nap as "excellent" or "good" in 87 compared with 76 percent after PEG. Expand
Bowel preparation or not for elective colorectal surgery.
TLDR
The current practice of bowel preparation and chemoprophylaxis amongst surgeons in Wales and the south-west of England is surveyed and its importance as a factor in wound infection and anastomotic dehiscence may be overstated. Expand
Current practices of preoperative bowel preparation among North American colorectal surgeons.
TLDR
The use of outpatient bowel preparation is increasing; however, patient selection is critical, and education is needed to reduce the rate of complications. Expand
Improvements in mechanical bowel preparation for elective colorectal surgery
TLDR
Because the acceptability of both cleansing regimens were not different, 2 liters of polyethylene glycol plus Prepacol®should be preferred because the amount of fluid administered to clean the bowel is reduced and the nasogastric tube can always be avoided. Expand
Operations on the colon without preoperative oral antibiotic therapy.
TLDR
The results with this type of management compare favorably with those of other surgeons using various modes of preoperative oral antibiotic therapy and suggest that oral preoperative antibiotic therapy may not be necessary in elective operations on the colon. Expand
Is mechanical bowel preparation necessary before primary colonic anastomosis?
TLDR
The safety of segmental resection and primary anastomosis in the unprepared or loaded colon is investigated in dogs and the ritual of mechanical bowel preparation should be further scrutinized. Expand
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