Current Practices of Preoperative Bowel Preparation Among North American Colorectal Surgeons

Proximal diversion at the time of ileal pouch-anal anastomosis for ulcerative colitis: current practices of North American colorectal surgeons.

PURPOSE Pelvic sepsis is a serious complication after ileal pouch-anal anastomosis for ulcerative colitis that may lead to pouch failure or poor function. Although a temporary loop ileostomy may be created at the time of ileal pouch-anal anastomosis to prevent or minimize the consequences of an anastomotic leak, research has suggested that an ileostomy can be safely omitted in selected patients...

Efficacy of preoperative bowel preparation at home.

A preliminary study was designed to determine whether preoperative bowel preparation for colorectal surgery could be performed safely at home. Medical charts of 62 patients covering 4 years of elective major colorectal surgery done by a single general surgeon were retrospectively reviewed. Patients were divided into four groups, depending on the year in which they had surgery. Each patient had ...

Should preoperative mechanical bowel preparation be abandoned?

Preoperative bowel preparation: surgical standard or past?

BACKGROUND Preoperative bowel preparation is still routinely used prior to colorectal surgery. This concept is based on traditional and personal empiricism and usually not evidence based. The objective of the present review was to reassess this dogma against the background of the highest level of evidence published thus far. METHODS The Medline database was searched using the search terms 'pr...

Physician among surgeons: thoughts on preoperative assessment.