Preoperative Bowel Preparation before Elective Bowel Resection or Ostomy Closure in the Pediatric Patient Population Has No Impact on Outcomes: A Prospective Randomized Study
| Autor: | Sean E. McLean, William T. Adamson, Amy Marzinsky, Sang Lee, Michael R. Phillips, Kimberly M. Erickson, Timothy M. Weiner, Clayton Tyler Ellis, Patricia Lange, Mansi Shah |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
education.field_of_study
medicine.medical_specialty business.industry medicine.medical_treatment Population General Medicine Bowel resection medicine.disease Preoperative care law.invention Surgery Bowel obstruction 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology Elective Surgical Procedure Abscess education Prospective cohort study business |
| Zdroj: | The American Surgeon. 82:801-806 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481608200941 |
| Popis: | The role of preoperative bowel prep in the pediatric surgical population is uncertain. We performed a randomized prospective study to evaluate noninferiority between the presence or absence of a preoperative bowel prep in elective pediatric bowel surgery on postoperative outcomes. Patients aged three months to 18 years were recruited and randomized to the bowel prep group or the no bowel prep group. Patients were evaluated in-hospital and at postoperative clinic visits. Thirty-two patients were recruited; 18 in the bowel prep group and 14 in the no bowel prep group. There was no statistical difference ( P > 0.05) in complications between the groups. Complications were observed in five patients in each group (27.8% and 35.7%, respectively). In the bowel prep group, two (11.1%) had wound infection (vs three, 21.4%), 0 had an intra-abdominal abscess (vs one, 7.1%), one (5.6%) had sepsis (vs one, 7.1%), one (5.6%) had an anastomotic leak (vs 0), and three (16.7%) had a bowel obstruction (vs one, 7.1%). There were no extra-abdominal complications. There were no significant differences in complications between the two groups. Further research is warranted, but may require a multi-institutional trial to recruit sufficient numbers to make conclusions about the significance of the need for bowel prep. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|