GuidelineCanadian journal of surgery. Journal canadien de chirurgie2010
Preoperative bowel preparation for patients undergoing elective colorectal surgery: a clinical practice guideline endorsed by the Canadian Society of Colon and Rectal Surgeons.
Guideline in Canadian journal of surgery. Journal canadien de chirurgie, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- The value of mechanical bowel preparation in elective colorectal surgery: an updated meta-analysis and systematic review.BMC gastroenterology · 2025Pooled it
- Mechanical bowel preparation for elective colorectal surgery: updated systematic review and meta-analysis.International journal of colorectal disease · 2012Pooled it
- Article
- Does mechanical bowel preparation really prevent complications after colorectal surgery depending on the lesion localization? A myth or fact?Turkish journal of surgery · 2023Article
- Mechanical bowel preparation with or without oral antibiotics for rectal resection for cancer (REPCA trial): a study protocol for a multicenter randomized controlled trial.Techniques in coloproctology · 2023Article
- Mechanical plus oral bowel preparation with paromomycin and metronidazole reduces infectious complications in elective colorectal surgery: a matched case-control study.International journal of colorectal disease · 2021Observational
- A Review of Bowel Preparation Before Colorectal Surgery.Annals of coloproctology · 2021Review
- Article
- Preoperative bowel preparation does not favor the management of colorectal anastomotic leak.World journal of gastrointestinal surgery · 2019Article
- Enhanced recovery after surgery: An anesthesiologist's perspective.Journal of anaesthesiology, clinical pharmacology · 2019Review
- Existing practice of perioperative management of colorectal surgeries in a regional cancer institute and compliance with ERAS guidelines.Indian journal of anaesthesia · 2019Article
- Compliance with enhanced recovery protocols in elderly patients undergoing colorectal resection.Annals of the Royal College of Surgeons of England · 2018Article
- Role of oral antibiotics for prophylaxis against surgical site infections after elective colorectal surgery.World journal of gastrointestinal surgery · 2017Review
- The effect of a postoperative quality improvement program on outcomes in colorectal surgery in a community hospital.International journal of colorectal disease · 2016Article
- Benefit of mechanical bowel preparation prior to elective colorectal surgery: current insights.Langenbeck's archives of surgery · 2016Review
- Colonic transit in the empty colon after defunctioning ileostomy: do we really know what happens?Techniques in coloproctology · 2015Observational
- Perioperative fluid restriction.Clinics in colon and rectal surgery · 2013Review
- Improvements in safety and recovery following cystectomy: reassessing the role of pre-operative bowel preparation and interventions to speed return of post-operative bowel function.Current urology reports · 2013Review
- The prevention of surgical site infection in elective colon surgery.Scientifica · 2013Review
- Anesthesia and perioperative management of colorectal surgical patients - A clinical review (Part 1).Journal of anaesthesiology, clinical pharmacology · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite evidence that mechanical bowel preparation (MBP) does not reduce the rate of postoperative complications, many surgeons still use MBP before surgery. We sought to appraise and synthesize the available evidence regarding preoperative bowel preparation in patients undergoing elective colorectal surgery.
methodsWe searched MEDLINE, EMBASE and Cochrane Databases to identify randomized controlled trials (RCTs) comparing patients who received a bowel preparation with those who did not. Two authors reviewed the abstracts to identify articles for critical appraisal. We used the methods of the United States Preventive Services Task Force to grade study quality and level of evidence, as well as formulate the final recommendations. Outcomes assessed included postoperative infectious complications, such as anastomotic dehiscence and superficial surgical site infections.
resultsOur review identified 14 RCTs and 8 meta-analyses. Based on the quality and content of these original manuscripts, we formulated 6 recommendations for various aspects of bowel preparation in patients undergoing elective colorectal surgery.
conclusionTaking into account the lack of difference in postoperative infectious complication rates when MBP is omitted and the adverse effects of MBP, we believe that, based on the literature, MBP before surgery should be omitted.
Indexed as
Identifiers
21092431PMC2993029W61165066What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.