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mechanical bowel preparation

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https://www.readbyqxmd.com/read/27900630/current-delivery-of-hyperthermic-intraperitoneal-chemotherapy-with-cytoreductive-surgery-cs-hipec-and-perioperative-practices-an-international-survey-of-high-volume-surgeons
#1
Allison H Maciver, Eisar Al-Sukhni, Jesus Esquivel, Joseph J Skitzki, John M Kane, Valerie A Francescutti
BACKGROUND: Cytoreductive surgery and heated intraperitoneal chemotherapy (CS/HIPEC) is performed for selected indications at a limited number of specialized centers worldwide. Currently there is no standardized approach to the perioperative care process. We sought to capture current practices in the perioperative management of patients who undergo CS/HIPEC at high-volume centers. METHODS: Surgeon members of the American Society of Peritoneal Surface Malignancies working at high-volume CS/HIPEC centers (>10 cases/year) were invited to complete an online survey...
November 29, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27896654/bowel-preparation-is-associated-with-reduced-morbidity-in-elderly-patients-undergoing-elective-colectomy
#2
Scott C Dolejs, Michael J Guzman, Alyssa D Fajardo, Bruce W Robb, Bryan K Holcomb, Ben L Zarzaur, Joshua A Waters
BACKGROUND: Bowel preparation in elderly patients is associated with physiologic derangements that may result in postoperative complications. The aim of this study is to determine the impact of bowel preparation on postoperative outcomes in elderly patients. METHODS: Patients age 75 years and older who underwent elective colectomy were identified from the 2012-2014 American College of National Surgical Quality Improvement Program (ACS-NSQIP database). Patients were grouped into no bowel preparation, mechanical bowel preparation (MBP), oral antibiotic preparation (OABP), or combined MBP + OABP...
November 28, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27856521/gleaning-insights-from-fecal-microbiota-transplantation-and-probiotic-studies-for-the-rational-design-of-combination-microbial-therapies
#3
REVIEW
Lauren E Hudson, Sarah E Anderson, Anita H Corbett, Tracey J Lamb
Beneficial microorganisms hold promise for the treatment of numerous gastrointestinal diseases. The transfer of whole microbiota via fecal transplantation has already been shown to ameliorate the severity of diseases such as Clostridium difficile infection, inflammatory bowel disease, and others. However, the exact mechanisms of fecal microbiota transplant efficacy and the particular strains conferring this benefit are still unclear. Rationally designed combinations of microbial preparations may enable more efficient and effective treatment approaches tailored to particular diseases...
January 2017: Clinical Microbiology Reviews
https://www.readbyqxmd.com/read/27793512/enhanced-recovery-after-gastro-intestinal-surgery-the-scientific-background
#4
P Mariani, K Slim
Enhanced recovery programs (ERP) are without any doubt a major innovation in the care of surgical patients. This multimodal approach encompasses elements of both medical and surgical care. The goal of this in-depth review is to analyze the surgical aspects of ERP, underlining the scientific rationale behind each element of ERP after surgery and in particular, the role of mechanical bowel preparation before colorectal surgery, the place of minimal access surgery, the utility of nasogastric tube, abdominal drainage, bladder catheters and early re-feeding...
October 25, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27783083/extra-virgin-olive-oil-a-key-functional-food-for-prevention-of-immune-inflammatory-diseases
#5
REVIEW
Marina Aparicio-Soto, Marina Sánchez-Hidalgo, Ma Ángeles Rosillo, Ma Luisa Castejón, Catalina Alarcón-de-la-Lastra
Nowadays, it is clear that an unhealthy diet is one of the prime factors that contributes to the rise of inflammatory diseases and autoimmunity in the populations of both developed and developing countries. The Mediterranean diet has been associated with a reduced incidence of certain pathologies related to chronic inflammation and the immune system. Olive oil, the principal source of dietary lipids of the Mediterranean diet, possesses a high nutritional quality and a particular composition, which is especially relevant in the case of Extra Virgin Olive Oil (EVOO)...
October 26, 2016: Food & Function
https://www.readbyqxmd.com/read/27782976/the-use-of-mechanical-bowel-preparation-in-pelvic-reconstructive-surgery-a-randomized-controlled-trial
#6
Amos O Adelowo, Michele R Hacker, Anna M Modest, Costa A Apostolis, Anthony J Disciullo, Katherine J Hanaway, Eman E Elkadry, Peter L Rosenblatt, Kathleen J Rogers, Lekha S Hota
OBJECTIVE: To compare mechanical bowel preparation (MBP) using oral magnesium citrate with sodium phosphate enema to sodium phosphate (NaP) enema alone during minimally invasive pelvic reconstructive surgery. METHODS: We conducted a single-blind, randomized controlled trial of MBP versus NaP in women undergoing minimally invasive pelvic reconstructive surgery. The primary outcome was intraoperative quality of the surgical field. Secondary outcomes included surgeon assessment of bowel handling and patient-reported tolerability symptoms...
October 25, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27778060/the-role-of-oral-antibiotics-prophylaxis-in-prevention-of-surgical-site-infection-in-colorectal-surgery
#7
Michalis Koullouros, Nadir Khan, Emad H Aly
BACKGROUND: Surgical site infection (SSI) continues to be a challenge in colorectal surgery. Over the years, various modalities have been used in an attempt to reduce SSI risk in elective colorectal surgery, which include mechanical bowel preparation before surgery, oral antibiotics and intravenous antibiotic prophylaxis at induction of surgery. Even though IV antibiotics have become standard practice, there has been a debate on the exact role of oral antibiotics. AIM: The primary aim was to identify the role of oral antibiotics in reduction of SSI in elective colorectal surgery...
October 24, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27650707/preoperative-oral-antibiotics-reduce-infections-after-colorectal-cancer-surgery
#8
Michal Mik, Maciej Berut, Radzislaw Trzcinski, Lukasz Dziki, Jaroslaw Buczynski, Adam Dziki
AIM: The objectives were to recognize the risk factors for surgical site infections (SSIs) after surgery due to colorectal cancer and to assess the impact of mechanical bowel preparation (MBP) and oral antibiotic prophylaxis (ABX) on SSIs. METHODS: Records from two colorectal centers were used. Risk factors of SSIs were categorized into patient-, disease-, and treatment-dependent. RESULTS: A group of 2240 patients was included. SSIs were noted in 364 patients (16...
September 20, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27634398/the-impact-of-bowel-preparation-on-the-severity-of-anastomotic-leak-in-colon-cancer-patients
#9
Ivy N Haskins, James W Fleshman, Richard L Amdur, Samir Agarwal
BACKGROUND AND OBJECTIVES: The routine use of preoperative bowel preparation (BP) is heavily debated in the colorectal surgery literature. To date, no study has investigated the effect preoperative BP has on patients with an established anastomotic leak. We therefore seek to compare the severity of patient morbidity and mortality in patients with a known anastomotic leak based on type of preoperative BP using the Targeted Colectomy American College of Surgeons National Surgery Quality Improvement Program (ACS-NSQIP)...
September 16, 2016: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27577701/positive-detection-of-exfoliated-colon-cancer-cells-on-linear-stapler-cartridges-was-associated-with-depth-of-tumor-invasion-and-preoperative-bowel-preparation-in-colon-cancer
#10
Kishiko Ikehara, Shungo Endo, Kensuke Kumamoto, Eiji Hidaka, Fumio Ishida, Jun-Ichi Tanaka, Shin-Ei Kudo
BACKGROUND: The aim of this study was to investigate exfoliated cancer cells (ECCs) on linear stapler cartridges used for anastomotic sites in colon cancer. METHODS: We prospectively analyzed ECCs on linear stapler cartridges used for anastomosis in 100 colon cancer patients who underwent colectomy. Having completed the functional end-to-end anastomosis, the linear stapler cartridges were irrigated with saline, which was collected for cytological examination and cytological diagnoses were made by board-certified pathologists based on Papanicolaou staining...
2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27550722/randomized-clinical-trial-of-oral-and-intravenous-versus-intravenous-antibiotic-prophylaxis-for-laparoscopic-colorectal-resection
#11
A Ikeda, T Konishi, M Ueno, Y Fukunaga, S Nagayama, Y Fujimoto, T Akiyoshi, T Yamaguchi
BACKGROUND: The use of oral prophylactic antibiotics for the prevention of surgical-site infection (SSI) in patients undergoing laparoscopic surgery for colorectal cancer is controversial. The aim of this RCT was to evaluate whether intravenous perioperative antibiotics are inferior to combined preoperative oral and perioperative intravenous antibiotics in this setting. METHODS: Patients undergoing elective laparoscopic colorectal resection in a single cancer centre were assigned randomly to combined preoperative oral antibiotics (metronidazole and kanamycin) and perioperative intravenous antibiotics (cefmetazole) (oral/IV group) or to perioperative intravenous antibiotics (cefmetazole) alone (IV-only group)...
August 23, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27525878/efficacy-of-oral-administration-of-lactic-acid-bacteria-isolated-from-cocoa-in-a-fermented-milk-preparation-reduction-of-colitis-in-an-experimental-rat-model
#12
T F Dos Santos, T A Melo, D S Santos, R P Rezende, J C T Dias, C C Romano
We investigated the probiotic potential of lactic acid bacteria (LAB) obtained from cocoa fermentation using an experimental rat model of colitis. Cocoa beans were collected from fermentation boxes every 12 h for 5 days to isolate the microorganisms. Strains were isolated by serial dilution and plating on MRS agar. Gram-positive and catalase-negative rods were subjected to DNA extraction, polymerase chain reaction, and sequencing. Ten strains were randomly pooled and used to prepare a fermented milk drink that was used to treat the experimental colitis...
2016: Genetics and Molecular Research: GMR
https://www.readbyqxmd.com/read/27489623/laparoscopic-colorectal-resections-with-and-without-routine-mechanical-bowel-preparation-a-comparative-study
#13
Miu Yee Chan, Chi Chung Foo, Jensen Tung Chung Poon, Wai Lun Law
BACKGROUND: The benefit of mechanical bowel preparation (MBP) in patients undergoing laparoscopic colorectal resections remains a question. This study aimed to evaluate the effect of omitting MBP on patients undergoing laparoscopic bowel resections. METHODS: The outcomes of patients who underwent elective colorectal resections for cancer of colon and upper rectum without MBP were compared to a retrospective cohort who had MBP. RESULTS: There were 97 patients in the No-MBP group and 159 patients in the MBP group...
August 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27474844/risk-factors-for-anastomotic-leakage-after-colorectal-resection-a-retrospective-analysis-of-17518-patients
#14
Muralidharan Parthasarathy, Martin Greensmith, David Bowers, Thomas Groot-Wassink
AIM: A large prospectively collected clinical database was analysed to determine the various pre- and intraoperative factors affecting anastomotic leakage (AL) in colorectal surgery. METHOD: Data on 17,518 patients having a colorectal resection with anastomosis from the 2013 American College of Surgeons National Surgical Quality Improvement Program database were included in the study. Multivariable logistic regression analysis was carried out to identify risk-adjusted predictive factors for AL...
July 30, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27463886/the-effects-of-preoperative-oral-antibiotic-use-on-the-development-of-surgical-site-infection-after-elective-colorectal-resections-a-retrospective-cohort-analysis-in-consecutively-operated-90-patients
#15
Suleyman Ozdemir, Kamil Gulpinar, S Erpulat Ozis, Zafer Sahli, S Altug Kesikli, Atila Korkmaz, I Ethem Gecim
PURPOSE: The influence of oral antibiotic use together with mechanical bowel preparation (MBP) on surgical site infection (SSI) rate, length of hospital stay and total hospital costs in patients undergoing elective colorectal surgery were evaluated in this study. METHODS: Data from 90 consecutive patients undergoing elective colorectal resection between October 2006 and September 2009 was analyzed retrospectively. All patients received MBP. Patients in group A were given oral antibiotics (a total 480 mg of gentamycin, 4 gr of metronidazole in two divided doses and 2 mg of bisacodyl PO), whereas patients in group B received no oral antibiotics...
September 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27428703/bowel-preparation-for-colonoscopy-state-of-the-art
#16
Theodor Voiosu, Andrei Voiosu, Radu Voiosu
PURPOSE OF REVIEW: Bowel preparation for colonoscopy is a key quality indicator that impacts on all aspects of the procedure, such as patient comfort, diagnostic yield, and adverse events. Although most laxative regimens currently employed have been compared in a multitude of settings, the optimal preparation regimen still remains an open question. RECENT FINDINGS: Recent studies have focused on developing new regimens by modifying dosage, timing of administration or by combining laxatives with synergic mechanisms of action with the purpose of increasing patient tolerability while maximizing bowel cleansing...
July 13, 2016: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/27412739/-clinical-analysis-of-enteral-nutrition-in-47-children
#17
R D Zhuang, L J Tang, Y H Fang, K R Peng, J Chen
OBJECTIVE: To explore the efficacy and safety of the application of enteral nutrition (EN) in gastrointestinal disease in children, and to explore the possibility of the implementation of family EN. METHOD: Retrospective analysis of disease spectrum, EN approach, preparation, speed and time as well as adverse reactions and outcomes in 47 pediatric patients with gastrointestinal disease underwent EN therapy during July 2014 to March 2015. The nutrition indicators before and after EN therapy were compared by paired t-test...
July 2016: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/27387455/management-of-inflammatory-bowel-disease-in-the-elderly
#18
REVIEW
Elizabeth S John, Kristina Katz, Mark Saxena, Sita Chokhavatia, Seymour Katz
A substantial and growing proportion of patients with inflammatory bowel disease (IBD) are elderly, and these patients require tailored treatment strategies. However, significant challenges exist in the management of this population due to the paucity of data. Establishing the initial diagnosis and assessing the etiology of future symptoms and flares can be challenging as several other prevalent diseases can masquerade as IBD, such as ischemic colitis, diverticular disease, and infectious colitis. Important pharmacologic considerations include reduced glomerular filtration rate and drug-drug interactions in the elderly...
September 2016: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/27384100/the-fatal-flaw-of-outcome-studies-comparing-colorectal-operations-with-and-without-mechanical-bowel-preparation-the-absence-of-oral-antibiotics
#19
William C Cirocco
No abstract text is available yet for this article.
August 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27324152/benefit-of-mechanical-bowel-preparation-prior-to-elective-colorectal-surgery-current-insights
#20
REVIEW
A C A Murray, R P Kiran
BACKGROUND: Back in the 1970s, the administration of oral antibiotics combined with mechanical bowel preparation prior to colorectal surgery was considered standard procedure and adopted widely. Subsequent evidence suggested that bowel cleansing was unnecessary, even harmful, and hence was abandoned. Most recent evidence, however, suggests that full preparation significantly improves a spectrum of colectomy-specific postoperative outcomes. PURPOSE: The purpose of this review was to describe existing literature regarding the optimal bowel preparation regimen prior to elective colorectal resection...
August 2016: Langenbeck's Archives of Surgery
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