Comparison of oral polyethylene glycol plus a large volume glycerine enema with a large volume glycerine enema alone in patients undergoing colorectal surgery for malignancy: a randomized clinical trial

@article{Bertani2011ComparisonOO,
  title={Comparison of oral polyethylene glycol plus a large volume glycerine enema with a large volume glycerine enema alone in patients undergoing colorectal surgery for malignancy: a randomized clinical trial},
  author={Emilio Bertani and A. Chiappa and Roberto Biffi and Paolo Pietro Bianchi and Davide Radice and Vittorio Branchi and Sebastiano Spampatti and Irene Vetrano and Bruno Andreoni},
  journal={Colorectal Disease},
  year={2011},
  volume={13}
}
Aim  Recent meta‐analyses and randomized clinical trials have concluded that mechanical bowel preparation (MBP) before elective colorectal surgery is not associated with a reduction of surgical site infection (SSI). The aim of this randomized clinical trial was to evaluate the impact of preoperative MBP for colon and rectal cancer surgery in comparison with a single glycerine enema. 
Intestinal motility distal of a deviating ileostomy after rectal resection with the construction of a primary anastomosis: results of the prospective COLO-MOVE study
TLDR
Intestinal motility distally of the DI is decreased in patients who undergo a LAR resection with the construction of an anastomosis and DI, while preoperatively receiving a single time enema (STE). Expand
Impact of mechanical bowel preparation in elective colorectal surgery: A meta-analysis
TLDR
It is suggested that the use of mechanical bowel preparation does not affect the incidence of postoperative complications when compared with no preparation and should not be administered routinely prior to elective colorectal surgery. Expand
Association of Mechanical Bowel Preparation and Oral Antibiotics Before Elective Colorectal Surgery With Surgical Site Infection
TLDR
Mechanical bowel preparation with oral antibiotics is the best approach to reduce surgical site infections in patients undergoing colorectal surgery. Expand
Bowel Preparation: Are Antibiotics Necessary for Colorectal Surgery?
TLDR
Oral and intravenous antibiotics with mechanical bowel Preparation show improved colectomy-specific outcomes compared with no preparation or mechanical bowel preparation plus intravenous antibiotic alone. Expand
The role of mechanical bowel preparation and oral antibiotics for left-sided laparoscopic and open elective restorative colorectal surgery with and without faecal diversion
TLDR
Mechanical bowel preparation with oral antibiotics significantly minimised surgical site infections and anastomotic leak following both laparoscopic and open left-sided restorative colorectal surgery. Expand
Title Laparoscopic colorectal resections with and without routinemechanical bowel preparation : a comparative study
Background: The benefit of mechanical bowel preparation (MBP) in patients undergoing laparoscopic colorectal resections remains a question. This study aimed to evaluate the effect of omitting MBP onExpand
Laparoscopic colorectal resections with and without routine mechanical bowel preparation: A comparative study
TLDR
The omission of mechanical bowel preparation does not increase surgical morbidities in patients undergoing laparoscopic bowel resections and it also has no effect on operating time and conversion rate. Expand
Oral Mechanical Bowel Preparation for Colorectal Surgery: Systematic Review and Meta-Analysis
TLDR
The results could not exclude modest beneficial or harmful effects of oral mechanical bowel preparation compared with no preparation or enema, and evidence on adverse events was sparse. Expand
Experience with glycerin for antegrade continence enema in patients with neurogenic bowel.
TLDR
Glycerin is a viable and effective alternative irrigant for antegrade enemas of neurogenic bowel, with an excellent fecal continence rate and the volume of irrigant needed is typically less than 90 ml, which is much less than in published reports using tap water alone. Expand
The State of Mechanical Bowel Preparation in Colorectal Surgery
TLDR
The application of a defunctioning ileostoma decreases the rate of symptomatic anastomotic leakage and is recommended after low anterior resection in literature, and by diverting the faecal stream and keeping theAnastomosis free and clean of faeces may cause less or milder septic complications. Expand
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References

SHOWING 1-10 OF 29 REFERENCES
Randomized clinical trial of bowel preparation with a single phosphate enema or polyethylene glycol before elective colorectal surgery
TLDR
The aim of this clinical trial was to evaluate whether a single phosphate enema was as effective as oral polyethylene glycol (PEG) solution in preventing anastomotic leakage. Expand
Efficacy of mechanical bowel preparation with polyethylene glycol in prevention of postoperative complications in elective colorectal surgery: a meta-analysis
TLDR
The use of mechanical bowel preparation with PEG does not significantly lower postoperative complications in elective colorectal surgery. Expand
Rectal cancer surgery without mechanical bowel preparation
TLDR
The aim of this study was to assess whether rectal cancer surgery can be performed safely without MBP. Expand
Multicentre randomized clinical trial of mechanical bowel preparation in elective colonic resection
TLDR
This randomized clinical trial assessed whether preoperative MBP is beneficial in elective colonic surgery. Expand
Rectal Cancer Surgery With or Without Bowel Preparation: The French Greccar III Multicenter Single-Blinded Randomized Trial
TLDR
This first randomized trial demonstrated that rectal cancer surgery without MBP was associated with higher risk of overall and infectious morbidity rates without any significant increase of anastomotic leakage rate, and suggests continuing to perform MBP before elective rectal resection for cancer. Expand
[Feasibility of colorectal surgery without colonic preparation. A prospective study].
TLDR
The colorectal surgery without MBP may be safely performed and could improve the quality of life of patients in the perioperatory period. Expand
Is mechanical bowel preparation mandatory for elective colon surgery? A prospective randomized study.
TLDR
It is suggested that no advantage is gained by preoperative MBP in elective colorectal surgery. Expand
Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials on the Role of Mechanical Bowel Preparation Before Colorectal Surgery
TLDR
This large meta-analysis including almost 5000 patients demonstrates with a high level of evidence that any kind of mechanical bowel preparation should be omitted before colonic surgery. Expand
Mechanical bowel preparation for elective colorectal surgery.
TLDR
The belief that MBP is necessary before elective colorectal surgery should be reconsidered and bowel continuity is restored, with stratification for colonic and rectal surgery, is still warranted. Expand
Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial
TLDR
The hypothesis that patients who are given mechanical bowel preparation before elective colorectal surgery do not have a lower risk of anastomotic leakage than those who are not is tested. Expand
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