NON MECHANICAL BOWEL PREPARATION FOR ELECTIVE LEFT SIDED COLORECTAL CANCER SURGERY
Balbaa, M., Sultan, H., El-Sisy, A., Abdel-Latif, M., Zeid, N. (2010). NON MECHANICAL BOWEL PREPARATION FOR ELECTIVE LEFT SIDED COLORECTAL CANCER SURGERY. EKB Journal Management System, 29(1), 18-22. doi: 10.21608/ejsur.2010.367575
Mohamed Ashraf Balbaa; Hatem Sultan; Alla El-Sisy; Mahmoud Abdel-Latif; Nehad Zeid. "NON MECHANICAL BOWEL PREPARATION FOR ELECTIVE LEFT SIDED COLORECTAL CANCER SURGERY". EKB Journal Management System, 29, 1, 2010, 18-22. doi: 10.21608/ejsur.2010.367575
Balbaa, M., Sultan, H., El-Sisy, A., Abdel-Latif, M., Zeid, N. (2010). 'NON MECHANICAL BOWEL PREPARATION FOR ELECTIVE LEFT SIDED COLORECTAL CANCER SURGERY', EKB Journal Management System, 29(1), pp. 18-22. doi: 10.21608/ejsur.2010.367575
Balbaa, M., Sultan, H., El-Sisy, A., Abdel-Latif, M., Zeid, N. NON MECHANICAL BOWEL PREPARATION FOR ELECTIVE LEFT SIDED COLORECTAL CANCER SURGERY. EKB Journal Management System, 2010; 29(1): 18-22. doi: 10.21608/ejsur.2010.367575

NON MECHANICAL BOWEL PREPARATION FOR ELECTIVE LEFT SIDED COLORECTAL CANCER SURGERY

The Egyptian Journal of Surgery
Volume 29, Issue 1, January 2010, Pages 18-22    PDF (581.27 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2010.367575
Authors
Mohamed Ashraf Balbaa* 1; Hatem Sultan2; Alla El-Sisy2; Mahmoud Abdel-Latif2; Nehad Zeid2
1General Surgery Department, Faculty of Medicine, Menoufyia University, Egypt
2General Surgery Department, Faculty of Medicine, Menoufyia University, Egypt.
Abstract
Aim: Although Mechanical Bowel Preparation (MBP) is considered as an integral feature of intestinal 
antisepsis before left-sided colorectal surgery, there is a lack of scientific evidence demonstrating the efficacy 
of this practice in reducing the rate of infectious complications. The aim of this study was assessment of 
safety of non MBP in elective left colon and rectal surgery. 
Methods: After exclusion of patients with obstruction or abdominoperineal resection, 62 patients with left -
sided colorectal cancer were included, and randomized into two groups. Mechanical bowel preparation was 
performed for patients in Group A (29 cases as 2 cases were excluded during the study), while those in 
Group B (31 cases) did not receive mechanical preparation. 
Results: There was no statistically significant difference comparing both groups regarding demographic 
data and anatomical presentations of the colorectal cancer. During the MBP, (Group B) patients significantly 
encountered difficulty in drinking the preparation, abdominal pain, nausea and vomiting compared with 
(Group A) patients (P=0.00). There were no statistically significant difference comparing both groups as 
regards wound infection (P=0.438), anastomotic leakage (P=0.800), reoperation (P=0.961), or length of 
hospital stay (P=0.924). 
Conclusion: Elective left-sided colorectal surgery can be performed safely without MBP.
Keywords
Colorectal malignancy; Bowel cleaning; Bowel surgery
Statistics
Article View: 60
PDF Download: 32