Mechanical bowel preparation before elective colorectal surgery: is it necessary?

Matsou, Artemis; Vrakas, G.; Doulgerakis, M.; Hatzimisios, K.; Zandes, N.; Saliangas, K.

doi:10.1007/s10151-011-0733-1

Cited by 15 publications

(5 citation statements)

References 16 publications

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“…There were not underwent bowel preparation and the incidence of anastomotic leakage in the FTS group. There was no significant difference in postoperative abdominal infection in the two groups [11]. The traditional view of requirements before the operation of abdomen routine indwelling nasogastric tube and prevent postoperative nausea and vomiting, relieve gastrointestinal dysfunction caused by abdominal distension, until postoperative anal exhaust, in order to increase the safety of abdominal surgery.…”

Section: Postoperative Fastingmentioning

confidence: 82%

“…Studies have shown that excessive bowel preparation can increase postoperative abdominal infection and the incidence of anastomotic leakage. In addition to biliary enteric anastomosis surgery, hepatobiliary surgery can enter the intestinal tract, especially the lower digestive tract without bowel preparation [11]. Our results show that minimally invasive surgery is the core content of FTS; precise anastomosis technique is the key to avoid anastomotic leakage.…”

Section: Postoperative Fastingmentioning

confidence: 83%

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Study of Fast Track Surgery in Patients with Biliary Intestinal Anastomosis in China

Peng¹,

Dao-Ling²,

Feng-Wei³

et al. 2016

Surgery

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Objective: To investigate the feasibility. Safety and economical aspects of fast-track surgery (FTS) in patients with biliary intestinal anastomosis application security, effectiveness and its advantages.Methods: 31 patients were randomly divided into FTS group (n=16) and the control group (n=15). Control group using conventional perioperative treatment, guided by the idea of FTS group use the FTS perioperative measures, analysis and comparison of postoperative day 1 bad psychological emotions, exhaust and defecation time, postoperative hospitalization days and the hospitalization expenses and so on. Postoperative complications and adverse reactions in the groups.Results: Compared with the photographic, FTS group exhaust and defecation time in advance, and shorten hospitalization time, hospitalization expenses reduced (P<0.05), complications and adverse reaction is similar between the two groups has no statistical significance (P>0.05). Conclusion:Fast-track surgery in patients with biliary intestinal anastomosis, with a safe, effective, economic and other characteristic, can accelerate the rehabilitation of patients.

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Section: Postoperative Fastingmentioning

confidence: 82%

Section: Postoperative Fastingmentioning

confidence: 83%

Study of Fast Track Surgery in Patients with Biliary Intestinal Anastomosis in China

Peng¹,

Dao-Ling²,

Feng-Wei³

et al. 2016

Surgery

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“…Studies evaluating the effect of MBP in the short term found no difference in postoperative complications. However, the present study indicates that patients with colonic cancer might benefit from MBP in the longer perspective.…”

Section: Discussionmentioning

confidence: 92%

“…Mechanical bowel preparation (MBP) was long thought to be mandatory before colonic resection and is used routinely in many parts of the world to avoid postoperative infection, even though several studies and meta‐analyses have reported no decrease in postoperative complications after MBP. Some studies even found an increase in anastomotic leakage after MBP.…”

Section: Introductionmentioning

confidence: 99%

Impact of mechanical bowel preparation on survival after colonic cancer resection

Collin

Jung

Nilsson

et al. 2014

British Journal of Surgery

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“…In addition, the steep Trendelenburg position given during surgery may mask the expected clinical symptoms of dehydration (4,5). In these patients, due to bowel preparation and fluid restriction, metabolic acidosis may be seen with electrolyte imbalances, such as hypocalcaemia, hypokalaemia and hypernatraemia, and these may cause clinical arrhythmia, prolonged muscle relaxation, prolongation of recovery from anaesthesia and even acute tubular necrosis and renal failure (6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Effects of Bowel Preparation and Fluid Restriction in Robot-Assisted Radical Prostatectomy Patients

Karaören¹,

Bakan²,

Yürük³

et al. 2015

Turk J Anesth Reanim

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Amaç: Robot yardımlı radikal prostatektomi (RYRP) ameliyatlarında preoperatif bağırsak hazırlığı ve intraoperatif sıvı kısıtlaması dehidratasyona ve elektrolit dengesizliğine neden olabilmektedir. Bu hastalarda yatış öncesi anestezi polikliniğinde "normal" olarak değerlendirilen labaratuvar değerleri anestezi uygulaması esnasın-da yanıltıcı olabilmekte ve hipokalsemi ve hipokalemiye bağlı kalp ritmi bozukluklarına, depolarizan blokta uzamaya ve anesteziden derlenmenin gecikmesine neden olabilmektedir. Biz çalışmamızda RYRP ameliyatlarında bağırsak temizliği ve sıvı kısıtlamasının preoperatif (T1) alınan labaratuvar değerleri ile ameliyat başlangıcın-da (T2) ve ameliyatın 6. saatinde (T3) alınan labaratuvar değerleri arasında bu tip yan etkilere yol açabilecek derecede farklılığa sebep olup olmadığını araştırmayı amaçladık.Yöntemler: American Society of Anesthesiologists (ASA) I-II 49 hasta uzerinde yaptığımız prospektif çalışmada hastaların bağırsak hazırlığı 12 saat içinde 2 defa rektal enema (NaP) ve tek doz oral soda (NaP) kullanılarak yapıldı. Ameliyat süresince 1 mL kg -1 h -1 %0,09 NaCl ve 1 mL kg -1 h -1 %6 HES 200/05 infüzyonları uygulandı.Bulgular: T2'de potasyum düzeyi T1 ve T3'e göre; T2 ve T3'teki kalsiyum düzeyi ise T1'e göre istatistiksel olarak anlamlı düşük saptandı. T3 kalsiyum değeri de T2'den anlamlı düşük, T3 kreatinin değeri ise T1 ile T2'den istatistiksel olarak yüksek saptandı.Sonuç: ASA I-II hasta grubunda yaptığımız çalışmamızda bağır-sak hazırlığı ve sıvı kısıtlamasına bağlı labaratuvar değerlerinde her ne kadar ciddi yükseliş ve düşüşler saptanmamış olsa da bu deği-şimler yüksek riskli ASA III-IV hastalarda önem taşıyabilir.Anahtar Kelimeler: Uzaktan operasyon (robotik), dehidratasyon, sıvı elektrolit imbalansı, barsak hazırlığı Objective: In Robot-assisted radical prostatectomy (RARP) patients, preoperative bowel preparation and intraoperative fluid restriction may cause dehydration and electrolyte imbalance. In these patients, laboratory results that are considered "normal" in the pre-anaesthesia clinic may be misleading, and cardiac arrhythmia due to hypokalaemia and hypocalcaemia, as well as problems, such as prolonged non-depolarising blockade and delayed recovery from anaesthesia, may be observed during anaesthesia practice. In this study, we aimed to determine these disturbances by comparing the preoperative (T1) laboratory values with those at the beginning of the operation (T2) and at the 6 th hour of the operation (T3) and values at discharge. Methods:This prospective study comprised 49 American Society of Anesthesiologists (ASA) I-II patients. Bowel preparation was made with a rectal enema (NaP) twice in 12 hours and with one single dose of oral laxative soda (NaP). During surgery, 1 mL kg -1 h -1 0.09% NaCl and 1 mL kg -1 h -1 6% HES 200/05 infusions were applied. Results:The potassium level at T2 was significantly lower than at T1 and T3. The calcium levels at T2 and T3 were significantly lower than at T1, and the level at T3 was significantly lower than at T2. The creatin...

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Mechanical bowel preparation before elective colorectal surgery: is it necessary?

Cited by 15 publications

References 16 publications

Study of Fast Track Surgery in Patients with Biliary Intestinal Anastomosis in China

Study of Fast Track Surgery in Patients with Biliary Intestinal Anastomosis in China

Impact of mechanical bowel preparation on survival after colonic cancer resection

Effects of Bowel Preparation and Fluid Restriction in Robot-Assisted Radical Prostatectomy Patients

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