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

https://doi.org/10.1136/ebn.8.3.85

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    Slim K, Vicaut E, Panis Y, et al. Meta-analysis of randomized clinical trials of colorectal surgery with or without mechanical bowel preparation. Br J Surg 2004;91:1125–30.OpenUrlCrossRefPubMedWeb of Science

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

    METHODS

    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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    Footnotes

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

    • Source of funding: no external funding.