ReviewLangenbeck's archives of surgery2016
Benefit of mechanical bowel preparation prior to elective colorectal surgery: current insights.
Review in Langenbeck's archives of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis 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
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is mechanical bowel preparation mandatory for elective colon surgery? A systematic review and meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Management of Anastomotic Leakage after Colorectal Resection: Survey among the German CHIR-Net Centers.Journal of clinical medicine · 2023Article
- Safety profile of a multimodal fail-safe model to minimize postoperative complications in oncologic colorectal resections-a cohort study.Perioperative medicine (London, England) · 2023Article
- Intraoperative Colonic Irrigation for Low Rectal Resections With Primary Anastomosis: A Fail-Safe Surgical Model.Frontiers in surgery · 2022Article
- The impact of level II evidence on surgical practice: Dual agent bowel prep for elective colorectal surgery.Surgery · 2021Article
- Racial Disparities and Upward Trend in Bowel Preparation for Elective Colectomy in the National Surgical Quality Improvement Program Procedure Targeted Dataset: 2012 to 2018.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- [Impact of bowel preparation on surgical site infections and anastomotic leakage after elective colon resection: results of a retrospective study with 260 patients].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Article
- [Bowel preparation for elective colorectal surgery in Germany 2017 : Results of a survey among members of the German Society of General and Visceral Surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Article
- Local antibiotic decontamination to prevent anastomotic leakage short-term outcome in rectal cancer surgery.International journal of colorectal disease · 2018Article
- Current use of mechanical bowel preparation and oral antibiotics before elective colorectal resection in Australia and New Zealand.ANZ journal of surgeryArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBack in the 1970s, the administration of oral antibiotics combined with mechanical bowel preparation prior to colorectal surgery was considered standard procedure and adopted widely. Subsequent evidence suggested that bowel cleansing was unnecessary, even harmful, and hence was abandoned. Most recent evidence, however, suggests that full preparation significantly improves a spectrum of colectomy-specific postoperative outcomes. PURPOSE: The purpose of this review was to describe existing literature regarding the optimal bowel preparation regimen prior to elective colorectal resection. In addition, we evaluate the available evidence on each component-oral antibiotics, mechanical bowel preparation and intravenous antibiotics, with regard to short-term postoperative outcomes.
conclusionsCurrent best evidence suggests that colorectal resection should be preceded by a combination of oral antibiotics, mechanical bowel preparation and intravenous antibiotics at induction. Further randomized controlled trials are required due to a paucity of level 1 evidence.
Indexed as
Identifiers
27324152What 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.