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Mechanical Bowel Preparation

Most surgeons have recommended bowel perparation prior to elective colo-rectal cancer operations. The rationale for this was that faecal loading increased the chance of anastamotis leaks and peritonitis. Some felt that if there was a small hole in the anastamosis then this may very well heal when the bowel was empty but had no chance to heal when the bowel was full of stool. This makes sense; however other research has shown the importance of luminal contents in providing nutrition to the bowel.

\scalebox{0.2}{\includegraphics{evidence}} Some surgeons questioned the importance of bowel preparation and several randomised trials were done. A meta-analysis of these trials was recently published and this concluded that there was no convincing evidence for a beneficial effect of mechanical bowel preparation in elective colo-recatal surgery [WJGCM03].

* Read more about: Evidence for mechanical bowel preparation in elective colo-rectal surgery
Where bowel preparation is required the choices are mainly oral preparations and rectal preparations. In some patients a combination of both is required to get a good result.



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next up previous index Surgical Topics
Next: Bowel Prep - Rectal Up: Preparation for surgery Previous: Informed Consent   Index
Adrian P. Ireland