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Therapeutics/Prevention
Cohort study
Mechanical bowel preps improve surgical outcomes in colorectal surgery
  1. Christopher Mantyh
  1. Department of Advanced Oncologic and GI Surgery, Duke University School of Medicine, Durham, North Carolina, USA
  1. Correspondence to : Professor Christopher Mantyh, Department of Advanced Oncologic and GI Surgery, Duke University School of Medicine, 201 Trent Dr, Durham, NC 27710, USA; christopher.mantyh{at}dm.duke.edu

https://doi.org/10.1136/ebmed-2015-110323

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    Commentary on: Kiran RP, Murray AC, Chiuzan C, et al. Combined preoperative mechanical bowel preparation with oral antibiotics significantly reduces surgical site infection, anastomotic leak, and ileus after colorectal surgery. Ann Surg 2015;262:416–25.OpenUrlCrossRefPubMed

    Content

    The manuscript by Kiran et al1 investigates a long contentious issue of preoperative bowel preps in colorectal surgery.

    Methods

    The authors used the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) 2012 database to compare patients undergoing colon or rectal surgery which received either preoperative mechanical bowel prep alone (MBP+/ABX−), MBP with oral antibiotics (MBP+ABX), or neither MBP or ABX. In total 8442 patients were identified in the cohort. The primary end point of the study was overall surgical site …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.