TY - JOUR T1 - Mechanical bowel preps improve surgical outcomes in colorectal surgery JF - Evidence Based Medicine JO - Evid Based Med SP - 27 LP - 27 DO - 10.1136/ebmed-2015-110323 VL - 21 IS - 1 AU - Christopher Mantyh Y1 - 2016/02/01 UR - http://ebm.bmj.com/content/21/1/27.abstract N2 - 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.OpenUrlCrossRefPubMedThe manuscript by Kiran et al1 investigates a long contentious issue of preoperative bowel preps in colorectal surgery.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 … ER -