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Review: bowel preparation before elective colorectal surgery increases anastomotic leakage more than no preparation

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Q How does mechanical bowel preparation (preparation and cleansing of the bowel before colorectal surgery) compare with no preparation before elective colorectal surgery?


Embedded ImageData sources:

Medline, Pascal Biomed, Scisearch, EMBASE/Excerpta Medica, Lilacs, Medical Editors’ Trials Amnesty, and Centre for Reviews and Dissemination database (all from inception through March 2003); Cochrane Library (Issue 3, 2003); major surgical journals; conference proceedings; contact with experts; and bibliographies of relevant articles.

Embedded ImageStudy selection and assessment:

randomised controlled trials in any language that compared mechanical bowel preparation with no preparation before elective colorectal surgery. Studies were assessed for randomisation method, double blinding, and withdrawals or dropouts.

Embedded ImageOutcomes:

anastomotic leakage, wound infection, extra-abdominal …

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  • For correspondence: Dr K Slim, Department of General and Digestive Surgery, Hôtel-Dieu, Clermont-Ferrand, France.

  • Source of funding: no external funding.