[Preoperative bowel conditioning]. / Präoperative Konditionierung des Darms.
Chirurg
; 90(7): 537-541, 2019 Jul.
Article
em De
| MEDLINE
| ID: mdl-30976891
ABSTRACT
BACKGROUND:
Gastrointestinal surgery is still associated with a relevant morbidity with the intestinal microbiome being of high importance in the pathogenesis of infectious complications. Various approaches, such as mechanical bowel preparation (MBP) with or without administration of oral antibiotics, fasting or dietary supplements aim at modulating the intestinal flora.OBJECTIVE:
This review summarizes the current literature pertinent to the influence of preoperative bowel conditioning on postoperative morbidity. MATERIAL ANDMETHODS:
A literature search was performed using the mentioned keywords with a focus on recent meta-analyses. RESULTS ANDCONCLUSION:
Bowel conditioning reduces postoperative infectious complications. Promising approaches are MBP plus administration of oral antibiotics, dietary supplements aiming at stabilization of the intestinal flora as well as the screening for and equilibration of malnutrition. The use of MBP as monotherapy without antibiotics should no longer be considered part of the clinical routine.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos do Sistema Digestório
/
Infecção da Ferida Cirúrgica
/
Antibioticoprofilaxia
Limite:
Humans
Idioma:
De
Revista:
Chirurg
Ano de publicação:
2019
Tipo de documento:
Article