Chapter 1 of 3 · Fundamentals
Clinical Question: Bowel Prep for Colostomy Takedown
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Management of Retained Central Venous Catheters
Dr. Todd Ponsky · 3 min · Published Apr 2019
Video
Intussusception - Soft Tissue Abscess - Pilonidal Cyst - Bleeding Meckel's...
19 min · Published Nov 2018
Video
Retained Central Venous Catheters
3 min · Published Oct 2018
Video
Posterior Tracheopexy For Severe Tracheomalacia
Dr. Todd Ponsky · 2 min · Published Feb 2018
Podcast
Intestinal Failure with Dr. Brad Warner
52 min · Published May 2017
Podcast
Neonatal Lung Lesions with Dr. Steven Rothenberg
66 min · Published Jan 2017
Video
Intestinal Atresia Types Explained: Grossfeld Classification for Pediatric Surgery
1 min · Published Sep 2026
Video
Derivation and validation of the Pediatric Community-Acquired Pneumonia Severity (PedCAPS) score: A prospective cohort study
50 s · Published Sep 2026
Video
FETO for Late-Diagnosed Severe Congenital Diaphragmatic Hernia (CDH) at Cincinnati Children's with Dr. Beth Rymeski
4 min · Published Sep 2026
Video
Severe Congenital Diaphragmatic Hernia (CDH) Case: FETO Management & Unexpected Findings with Dr. Beth Rymeski
3 min · Published Sep 2026
Video
Fetoscopic Endoluminal Tracheal Occlusion (FETO) Procedure: Step-by-Step Guide with Dr. Beth Rymeski
4 min · Published Sep 2026
Video
Choledochal Cyst Types Explained: Pediatric Surgery Fundamentals
1 min · Published Sep 2026
What the experts said
Adult prospective randomized trials show mechanical bowel prep alone does no good or probably harms patients
Oral antibiotics that are not absorbed are probably beneficial in adult colorectal surgery
One pediatric study showed mechanical bowel prep by itself led to higher infection rates in children
One pediatric study showed mechanical bowel prep by itself led to longer hospital stays in children
In one pediatric study, addition of antibiotics to mechanical bowel prep did not make any difference in outcomes
Another pediatric study showed mechanical bowel prep with oral antibiotics made no difference compared to no prep
For pediatric colostomy takedown, it is reasonable to omit both mechanical bowel prep and oral antibiotics