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Bowel preparation for colorectal surgery.

O Zmora1, A J Pikarsky, S D Wexner

  • 1Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida 33331, USA.

Diseases of the Colon and Rectum
|October 13, 2001
PubMed
Summary
This summary is machine-generated.

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Bowel preparation for colonoscopy and surgery remains standard, with North American colorectal surgeons preferring sodium phosphate. While omitting mechanical preparation for surgery shows promise, more data is needed before routine adoption.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Medical Literature Review

Background:

  • Bowel preparation is crucial for colonoscopy and colorectal surgery.
  • Current practices vary, influenced by literature, habit, and theory.
  • Assessing recent literature provides insights into evolving preparation methods.

Purpose of the Study:

  • To review and synthesize recent literature on bowel preparation techniques.
  • To evaluate methods for colonoscopy and elective colorectal surgery.
  • To understand current trends and evidence supporting different preparation protocols.

Main Methods:

  • Conducted an Index Medicus search of English-language articles from 1975-2000.
  • Included studies on oral mechanical, parenteral, and oral antibiotic bowel preparation.

Related Experiment Videos

  • Considered studies on mechanical bowel preparation for colonoscopy and elective colorectal surgery, including those without preparation.

    • Main Results:

    • Mechanical bowel preparation is the current standard for colorectal surgery in North America.
    • Sodium phosphate and polyethylene glycol are common agents for bowel cleansing.
    • Many surgeons use sodium phosphate with dual oral and parenteral antibiotics, though some practices lack strong evidence.

    Conclusions:

    • Sodium phosphate is preferred by North American colorectal surgeons for bowel preparation.
    • Perioperative antibiotics are standard adjuncts for colorectal surgery preparation.
    • While omitting mechanical bowel preparation for surgery is feasible, limited data necessitates caution for routine implementation.