Bowel preparation before elective surgery for colorectal cancer.
10.3760/cma.j.cn441530-20220221-00056
- Author:
Ruo Xu DOU
1
;
Zuo Lin ZHOU
2
;
Jian Ping WANG
2
Author Information
1. Department of Colorectal Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor, Guangdong Institute of Gastroenterology,Guangzhou 510655, China Department of Gastrointestinal Surgery, the fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China.
2. Department of Colorectal Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor, Guangdong Institute of Gastroenterology,Guangzhou 510655, China.
- Publication Type:Journal Article
- MeSH:
Anti-Bacterial Agents/therapeutic use*;
Colorectal Neoplasms/drug therapy*;
Constriction, Pathologic/etiology*;
Elective Surgical Procedures/adverse effects*;
Humans;
Preoperative Care/methods*;
Surgical Wound Infection/etiology*
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(7):645-647
- CountryChina
- Language:Chinese
-
Abstract:
For elective surgery of colorectal cancer, current evidence supports preoperative mechanical bowel preparation combined with oral antibiotics. Meanwhile, for patients with varied degrees of intestinal stenosis, individualized protocol is required to avoid adverse events. We hereby summarize recent high-quality evidences and updates of guidelines and consensus, and recommend stratified bowel preparation based on the clinical practice of our institute as follows. (1) For patients with unimpaired oral intake, whose tumor can be passed by colonoscopy, mechanical bowel preparation and oral antibiotics are given. (2) For patients without symptoms of bowel obstruction but with impaired oral intake or incomplete colonoscopy due to tumor-related stenosis, small-dosage laxative is given for several days before surgery, and oral antibiotics the day before surgery. (3) For patients with bowel obstruction, mechanical bowel preparation or enema is not indicated. We proposed this evidence-based, individualized protocol for preoperative bowel preparation for the reference of our colleagues, in the hope of improving perioperative outcomes and reducing adverse events.
