Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Harrowing bowel preparation is unnecessary before colorectal surgery

20.10.2003


Research news from The Cochrane Library



Surgeons and other experts have long regarded mechanical bowel preparation to be an essential preventative measure before colorectal surgery. Recent evidence in The Cochrane Library, however, reveals that mechanical bowel cleansing does not significantly decrease the risk of anastomotic leakage or other complications.

Researchers reviewed six studies performed over the last thirty years into the relationship between mechanical bowel cleansing and associated patient morbidity and mortality. Most surgeons require this cleansing of their patients prior to operating, believing the risks of infection, anastomotic leakage and other complications to be significantly reduced.


The conclusion reached will be inevitably surprising to professionals who have subscribed to this dogma for years: bowel preparation was not found to have any significant positive effect upon morbidity or mortality of patients undergoing elective colorectal surgery. The process of bowel cleansing is known to be gruelling and carries risks in its own right. Gastric intolerance, low serum potassium levels, electrolyte disturbance and bowel explosion are all risks associated with the bowel cleansing process. The result indicates a higher risk of anastomotic leakage when cleansing is used.

“The hypothesis that faecal matter in the bowel led to complications after surgery stood for over a century before we arrived at this conclusion to the contrary,” says co-author of the study Dr Peer Wille-Jørgensen.

Jaida Butler | alfa
Further information:
http://www.update-software.com/cochrane
http://www.wileyeurope.com/
http://www.cochrane.org

More articles from Health and Medicine:

nachricht Tracking movement of immune cells identifies key first steps in inflammatory arthritis
23.01.2017 | Massachusetts General Hospital

nachricht Team discovers how bacteria exploit a chink in the body's armor
20.01.2017 | University of Illinois at Urbana-Champaign

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Quantum optical sensor for the first time tested in space – with a laser system from Berlin

For the first time ever, a cloud of ultra-cold atoms has been successfully created in space on board of a sounding rocket. The MAIUS mission demonstrates that quantum optical sensors can be operated even in harsh environments like space – a prerequi-site for finding answers to the most challenging questions of fundamental physics and an important innovation driver for everyday applications.

According to Albert Einstein's Equivalence Principle, all bodies are accelerated at the same rate by the Earth's gravity, regardless of their properties. This...

Im Focus: Traffic jam in empty space

New success for Konstanz physicists in studying the quantum vacuum

An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...

Im Focus: How gut bacteria can make us ill

HZI researchers decipher infection mechanisms of Yersinia and immune responses of the host

Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...

Im Focus: Interfacial Superconductivity: Magnetic and superconducting order revealed simultaneously

Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.

While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...

Im Focus: Studying fundamental particles in materials

Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales

Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Sustainable Water use in Agriculture in Eastern Europe and Central Asia

19.01.2017 | Event News

12V, 48V, high-voltage – trends in E/E automotive architecture

10.01.2017 | Event News

2nd Conference on Non-Textual Information on 10 and 11 May 2017 in Hannover

09.01.2017 | Event News

 
Latest News

Tracking movement of immune cells identifies key first steps in inflammatory arthritis

23.01.2017 | Health and Medicine

Electrocatalysis can advance green transition

23.01.2017 | Physics and Astronomy

New technology for mass-production of complex molded composite components

23.01.2017 | Process Engineering

VideoLinks
B2B-VideoLinks
More VideoLinks >>>