作者
2017 European Society of Coloproctology (ESCP) Collaborating Group, James C Glasbey, Ruth Blanco‐Colino, Michael Kelly, Baljit Singh, Aneel Bhangu, Thomas Pinkney, Tomas Poskus, Alaa El‐Hussuna, Nick J Battersby, Nicolas C Buchs, Christianne Buskens, Sanjay Chaudri, Matteo Frasson, Gaetano Gallo, Ana María Minaya‐Bravo, Dion Morton, Ionut Negoi, Dmitri Nepogodiev, Francesco Pata, Luis Sánchez‐Guillén, Oded Zmora, Rita Perry, Laura Magill, Donato Altomare, Willem Bemelman, Steven Brown, Quentin Denost, Charles Knowles, Søren Laurberg, Jérémie H Lefevre, Gabriela Möeslein, Tom Pinkney, Carolynne Vaizey, S Bilali, V Bilali, M Salomon, M Cillo, D Estefania, J Patron Uriburu, H Ruiz, P Farina, F Carballo, S Guckenheimer, D Proud, R Brouwer, A Bui, B Nguyen, P Smart, A Warwick, JE Theodore, F Herbst, T Birsan, B Dauser, S Ghaffari, N Hartig, A Stift, S Argeny, L Unger, R Strouhal, A Heuberger, A Varabei, N Lahodzich, A Makhmudov, L Selniahina, T Feryn, T Leupe, L Maes, E Reynvoet, K Van Langenhove, M Nachtergaele, B Monami, D Francart, C Jehaes, S Markiewicz, J Weerts, K Van Belle, B Bomans, V Cavenaile, Y Nijs, M Vertruyen, P Pletinckx, D Claeys, B Defoort, F Muysoms, S Van Cleven, C Lange, K Vindevoghel, A Wolthuis, A D'Hoore, M Todorovic, S Dabic, B Kenjic, S Lovric, J Vidovic, S Delibegovic, Z Mehmedovic, A Christiano, B Lombardi, M Marchiori Jr, V Tercioti Jr, D Dardanov, P Petkov, L Simonova, A Yonkov, E Zhivkov, S Maslyankov, V Pavlov, M Sokolov, G Todorov, V Stoyanov, I Batashki, N Iarumov, I Lozev, B Moshev, M Slavchev, B Atanasov, N Belev, P Krstev, R Penkov, G Šantak, J Ćosić, A Previšić, L Vukušić, G Zukanović, M Zelić, D Kršul, V Lekić Vitlov, D Mendrila, J Orhalmi, T Dusek, O Maly, J Paral, O Sotona, M Skrovina, V Bencurik, M Machackova, Z Kala, M Farkašová, T Grolich, V Procházka, J Hoch, P Kocian, L Martinek, F Antos, V Pruchova, A El‐Hussuna, A Ceccotti, T Madsbøll, D Straarup
发表日期
2018/9
期刊
Colorectal Disease
卷号
20
页码范围
15-32
简介
Introduction
The optimal bowel preparation strategy to minimise the risk of anastomotic leak is yet to be determined. This study aimed to determine whether oral antibiotics combined with mechanical bowel preparation (MBP+Abx) was associated with a reduced risk of anastomotic leak when compared to mechanical bowel preparation alone (MBP) or no bowel preparation (NBP).
Methods
A pre‐planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed. Patients undergoing elective left sided colonic or rectal resection with primary anastomosis between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak.
Results
Of 3676 patients across 343 centres in 47 countries, 618 (16.8%) received MBP+ABx, 1945 MBP (52.9%) and 1099 patients NBP (29.9%). Patients …
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