Key result
Mechanical bowel preparation before colonic surgery remains controversial, with recent RCTs showing wide disparities in methods, results, and conclusions.
Why the study?
There is controversy regarding mechanical bowel preparation before colorectal surgery.
Does mechanical bowel preparation improve outcomes in patients undergoing colonic surgery?
Does mechanical bowel preparation improve outcomes in patients undergoing colonic surgery?
Recent RCTs on mechanical bowel preparation before colonic surgery show wide disparities in methods and results, highlighting the need for microbial culture confirmation.
Wide disparity in recent bowel prep RCTs precludes practice changes; leaves open need for standardized trials with microbial endpoints.
An analysis of the results and conclusions from the most recent RCTs of the role of mechanical bowel preparation before colonic surgery is presented. The results indicate a wide disparity in the methods, results and conclusion of these studies, and the lack of microbial culture confirmation to advance understanding of how to move the field forward. Controversy on bowel preparation in colorectal surgery.
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Alverdy et al. (2019) conducted a review in Colonic surgery. Mechanical bowel preparation was evaluated. Mechanical bowel preparation before colonic surgery remains controversial, with recent RCTs showing wide disparities in methods, results, and conclusions.
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