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Titolo:
WHAT IS THE ROLE OF MECHANICAL BOWEL PREPARATION IN PATIENTS UNDERGOING COLORECTAL SURGERY
Autore:
PLATELL C; HALL J;
Indirizzi:
FREMANTLE HOSP,UNIV DEPT SURG FREMANTLE AUSTRALIA ROYAL PERTH HOSP PERTH WA AUSTRALIA
Titolo Testata:
Diseases of the colon & rectum
fascicolo: 7, volume: 41, anno: 1998,
pagine: 875 - 882
SICI:
0012-3706(1998)41:7<875:WITROM>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
WHOLE-GUT IRRIGATION; CLINICAL-TRIAL; COLONIC ANASTOMOSIS; ANTERIOR RESECTION; CLEANSING METHODS; LAVAGE SOLUTION; MANAGEMENT; PROPHYLAXIS; EFFICACY; CANCER;
Keywords:
MECHANICAL BOWEL PREPARATION; COLON SURGERY; RECTAL SURGERY; ANASTOMOTIC LEAKAGE; WOUND INFECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
43
Recensione:
Indirizzi per estratti:
Citazione:
C. Platell e J. Hall, "WHAT IS THE ROLE OF MECHANICAL BOWEL PREPARATION IN PATIENTS UNDERGOING COLORECTAL SURGERY", Diseases of the colon & rectum, 41(7), 1998, pp. 875-882

Abstract

BACKGROUND: Most surgeons use mechanical bowel I,reparation before performing operations on the colon and rectum. The aim of this study is to determine if there is any published literature that supports this practice. METHODS. We undertook a review of the literature on the benefits of mechanical bowel preparation in patients undergoing surgery on the colon and rectum. A meta-analysis was conducted on all available clinical trials addressing tl-lis issue. RESULTS: A meta-analysis of three clinical trials revealed a significantly greater incidence of wound infection in patients who received a mechanical bowel preparation (10.8 vs. 7.4 percent, P < 0.002; 35 percent confidence interval of the difference, - 1.6-8.4 percent). Patients who received mechanical bowelpreparation had an incidence of anastomotic leakage that was twice that of control patients; however, this difference was not significant (8.1 vs. ii percent; P < 0.114; 95 percent confidence interval of the difference, - 0.4-8.4 percent). CONCLUSION: There is Limited evidence in the literature to support the use of mechanical bowel preparation inpatients undergoing colorectal surgery. Hence, there is a need for clinical trials comparing the more traditional, aggressive forms of bowel preparation (e.g., polyethylene glycol solutions, sodium phosphate) with either no preparation or simpler techniques, such as a single phosphate enema.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 20:14:57