Bowel preparation before elective surgery for colorectal cancer / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 645-647, 2022.
Article
em Zh
| WPRIM
| ID: wpr-943049
Biblioteca responsável:
WPRO
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.
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Infecção da Ferida Cirúrgica
/
Cuidados Pré-Operatórios
/
Neoplasias Colorretais
/
Procedimentos Cirúrgicos Eletivos
/
Constrição Patológica
/
Antibacterianos
Tipo de estudo:
Guideline
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2022
Tipo de documento:
Article