Revista Colombiana de Cirugía
versão impressa ISSN 2011-7582
Introduction: The preoperative preparation of the bowel is a generalized routine among surgeons; however, recent evidence poses doubts upon its effectiveness. Our group undertook a review of the information pertaining its efficacy. Methods: A systematic search of the articles of best quality was performed (systematic reviews) based upon the quality criteria defined by JAMA. Results were particularly analyzed. Results: Preoperative bowel preparation augmented the rate of anastomotic leaks. It was not possible to discriminate this effect according to the site of the anastomosis. Conclusion: The conduct of routine bowel preparation should be reevaluated.
Palavras-chave : colonic diseases; meta-analysis; enema; colorectal surgery; preoperative preparation.