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Colorectal surgery and preoperative bowel preparation: aren't we drawing hasty conclusions?

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In the mid-2000s, most surgical leading societies assumed that mechanical bowel preparation (MBP) was not indicated in colonic surgery [1-4], and restricted to rectal surgery [1,5]. However, since 2015, several… Click to show full abstract

In the mid-2000s, most surgical leading societies assumed that mechanical bowel preparation (MBP) was not indicated in colonic surgery [1-4], and restricted to rectal surgery [1,5]. However, since 2015, several large nationwide American studies [6-16] have challenged these notions, finding concordant benefits of a combination of MBP and oral antibiotics (OA) in both colonic and rectal surgery. As a result, the 2017 joint guidelines of the American Society of Colon and Rectal Surgeons (ASCRS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) recommended a combination of MBP and OA in colorectal surgery [17]. This article is protected by copyright. All rights reserved.

Keywords: bowel preparation; surgery preoperative; surgery; colorectal surgery

Journal Title: Colorectal Disease
Year Published: 2018

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