Preoperative Bowel Preparation before Elective Bowel Resection or Ostomy Closure in the Pediatric Patient Population Has No Impact on Outcomes: A Prospective Randomized Study
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 thre...
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| Veröffentlicht in: | The American surgeon 2016-09, Vol.82 (9), p.801-806 |
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| creator | Shah, Mansi Ellis, Clayton T. Phillips, Michael R. Marzinsky, Amy Adamson, William Weiner, Timothy Erickson, Kimberly Lee, Sang Lange, Patricia A. McLean, Sean E. |
| description | 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. |
| doi_str_mv | 10.1177/000313481608200941 |
| format | Article |
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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.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481608200941</identifier><identifier>PMID: 27670567</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Abdomen ; Adolescent ; Antibiotics ; Cathartics - administration & dosage ; Child ; Child, Preschool ; Colon ; Colonoscopy ; Digestive System Surgical Procedures ; Elective Surgical Procedures ; Electrolytes - administration & dosage ; Female ; Follow-Up Studies ; Hospitals ; Humans ; Infant ; Infections ; Intestines - surgery ; Male ; Mortality ; Ostomy ; Patients ; Pediatrics ; Polyethylene Glycols - administration & dosage ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Preoperative Care - methods ; Prospective Studies ; Surgery ; Treatment Outcome</subject><ispartof>The American surgeon, 2016-09, Vol.82 (9), p.801-806</ispartof><rights>2016 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Sep 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-13f670560b51a0ff1ec0f3c2420e7d3b0ff340bb887c68120ed9b99f0c9f02993</citedby><cites>FETCH-LOGICAL-c415t-13f670560b51a0ff1ec0f3c2420e7d3b0ff340bb887c68120ed9b99f0c9f02993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313481608200941$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313481608200941$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27670567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Mansi</creatorcontrib><creatorcontrib>Ellis, Clayton T.</creatorcontrib><creatorcontrib>Phillips, Michael R.</creatorcontrib><creatorcontrib>Marzinsky, Amy</creatorcontrib><creatorcontrib>Adamson, William</creatorcontrib><creatorcontrib>Weiner, Timothy</creatorcontrib><creatorcontrib>Erickson, Kimberly</creatorcontrib><creatorcontrib>Lee, Sang</creatorcontrib><creatorcontrib>Lange, Patricia A.</creatorcontrib><creatorcontrib>McLean, Sean E.</creatorcontrib><title>Preoperative Bowel Preparation before Elective Bowel Resection or Ostomy Closure in the Pediatric Patient Population Has No Impact on Outcomes: A Prospective Randomized Study</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>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.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Antibiotics</subject><subject>Cathartics - administration & dosage</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colon</subject><subject>Colonoscopy</subject><subject>Digestive System Surgical Procedures</subject><subject>Elective Surgical Procedures</subject><subject>Electrolytes - administration & dosage</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Intestines - surgery</subject><subject>Male</subject><subject>Mortality</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Polyethylene Glycols - administration & dosage</subject><subject>Postoperative Complications - 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Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Mansi</au><au>Ellis, Clayton T.</au><au>Phillips, Michael R.</au><au>Marzinsky, Amy</au><au>Adamson, William</au><au>Weiner, Timothy</au><au>Erickson, Kimberly</au><au>Lee, Sang</au><au>Lange, Patricia A.</au><au>McLean, Sean E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative Bowel Preparation before Elective Bowel Resection or Ostomy Closure in the Pediatric Patient Population Has No Impact on Outcomes: A Prospective Randomized Study</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2016-09</date><risdate>2016</risdate><volume>82</volume><issue>9</issue><spage>801</spage><epage>806</epage><pages>801-806</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27670567</pmid><doi>10.1177/000313481608200941</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American surgeon, 2016-09, Vol.82 (9), p.801-806 |
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| subjects | Abdomen Adolescent Antibiotics Cathartics - administration & dosage Child Child, Preschool Colon Colonoscopy Digestive System Surgical Procedures Elective Surgical Procedures Electrolytes - administration & dosage Female Follow-Up Studies Hospitals Humans Infant Infections Intestines - surgery Male Mortality Ostomy Patients Pediatrics Polyethylene Glycols - administration & dosage Postoperative Complications - etiology Postoperative Complications - prevention & control Preoperative Care - methods Prospective Studies Surgery Treatment Outcome |
| title | Preoperative Bowel Preparation before Elective Bowel Resection or Ostomy Closure in the Pediatric Patient Population Has No Impact on Outcomes: A Prospective Randomized Study |
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