StayCurrentMD · Do we need Bowel Prep
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Video1 min·Published Apr 2019Older

Do we need Bowel Prep

With Dr. Ian Glenn · StayCurrentMD
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What the experts said7 expert statements
Adult prospective randomized trials show mechanical bowel prep alone does no good or probably harms patients
ClinicalIan Glenn
Oral antibiotics that are not absorbed are probably beneficial in adult colorectal surgery
ClinicalIan Glenn
One pediatric study showed mechanical bowel prep by itself led to higher infection rates in children
ClinicalIan Glenn
One pediatric study showed mechanical bowel prep by itself led to longer hospital stays in children
ClinicalIan Glenn
In one pediatric study, addition of antibiotics to mechanical bowel prep did not make any difference in outcomes
ClinicalIan Glenn
Another pediatric study showed mechanical bowel prep with oral antibiotics made no difference compared to no prep
ClinicalIan Glenn
For pediatric colostomy takedown, it is reasonable to omit both mechanical bowel prep and oral antibiotics
OpinionIan Glenn