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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection: an international, multi-centre, prospective audit
Colorectal Disease, Volume 20, Year 2018
Notification
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Description
Introduction: The optimal bowel preparation strategy to minimise the risk of anastomotic leak is yet to be determined. This study aimed to determine whether oral antibiotics combined with mechanical bowel preparation (MBP+Abx) was associated with a reduced risk of anastomotic leak when compared to mechanical bowel preparation alone (MBP) or no bowel preparation (NBP). Methods: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed. Patients undergoing elective left sided colonic or rectal resection with primary anastomosis between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. Results: Of 3676 patients across 343 centres in 47 countries, 618 (16.8%) received MBP+ABx, 1945 MBP (52.9%) and 1099 patients NBP (29.9%). Patients undergoing MBP+ABx had the lowest overall rate of anastomotic leak (6.1%, 9.2%, 8.7% respectively) in unadjusted analysis. After case-mix adjustment using a mixed-effects multivariable regression model, MBP+Abx was associated with a lower risk of anastomotic leak (OR 0.52, 0.30–0.92, P = 0.02) but MBP was not (OR 0.92, 0.63–1.36, P = 0.69) compared to NBP. Conclusion: This non-randomised study adds ‘real-world’, contemporaneous, and prospective evidence of the beneficial effects of combined mechanical bowel preparation and oral antibiotics in the prevention of anastomotic leak following left sided colorectal resection across diverse settings. We have also demonstrated limited uptake of this strategy in current international colorectal practice. Colorectal Disease © 2018 The Association of Coloproctology of Great Britain and Ireland
Authors & Co-Authors
Glasbey, James C.
Unknown Affiliation
Blanco-Colino, R.
Unknown Affiliation
Kelly, Michael Eamon
Unknown Affiliation
Bhangu, Aneel Amir
Unknown Affiliation
Pinkney, Thomas D.
Unknown Affiliation
Poškus, Tomas
Unknown Affiliation
El-Hussuna, Alaa
Unknown Affiliation
Buchs, Nicolas Christian
Unknown Affiliation
Buskens, Christianne Johanna
Unknown Affiliation
Frasson, Matteo
Unknown Affiliation
Gallo, Gaetano
Unknown Affiliation
Minaya-Bravo, Ana M.
Unknown Affiliation
Dion G. Morton, Dion Gregory M.
Unknown Affiliation
Negoi, Ionut
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Sanchez-Guillen, Luís
Unknown Affiliation
Zmora, Oded
Unknown Affiliation
Perry, Rita J.
Unknown Affiliation
Magill, Laura
Unknown Affiliation
Bemelman, Willem Adrianus
Unknown Affiliation
Brown, Steven Ross
Unknown Affiliation
Denost, Quentin D.
Unknown Affiliation
Knowles, Charles H.
Unknown Affiliation
Laurberg, Soren
Unknown Affiliation
Möeslein, Gabriela
Unknown Affiliation
Vaizey, Carolynne J.
Unknown Affiliation
Proud, David M.
Unknown Affiliation
Warwick, Andrea Marie
Unknown Affiliation
Francart, David
Unknown Affiliation
Muysoms, Filip E.
Unknown Affiliation
Wolthuis, Albert M.
Unknown Affiliation
Delibegović, Samir
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Tercioti, Valdir
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Dardanov, Dragomir
Unknown Affiliation
Maslyankov, Svilen
Unknown Affiliation
Lozev, Ilia I.
Unknown Affiliation
Slavchev, M.
Unknown Affiliation
Atanasov, Boyko Tchavdarov
Unknown Affiliation
Belev, Nikolay
Unknown Affiliation
Škrovina, Matěj
Unknown Affiliation
Christensen, Peter Astrup
Unknown Affiliation
Elfeki, Hossam Ayman
Unknown Affiliation
Kristensen, Marianne Højsgaard
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Elgeidie, Ahmed Abdelraouf
Unknown Affiliation
Elhemaly, Mohamed
Unknown Affiliation
El Nakeeb, Ayman M.
Unknown Affiliation
Shalaby, Mostafa
Unknown Affiliation
Emile, Sameh Hany
Unknown Affiliation
Sakr, Ahmad Hammad
Unknown Affiliation
Thabet, Waleed Mohamed
Unknown Affiliation
Awny, Shadi
Unknown Affiliation
Metwally, Islam Hany
Unknown Affiliation
Refky, Basel
Unknown Affiliation
Zuhdy, Mohammad
Unknown Affiliation
Lepistö, Anna H.
Unknown Affiliation
Rautio, Tero T.
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Lehto, Kirsi Maarit
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Gléhen, Olivier J.
Unknown Affiliation
Passot, Guillaume
Unknown Affiliation
Chouillard, Élie K.
Unknown Affiliation
Ayav, Ahmet
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Rullier, Éric
Unknown Affiliation
Lakkis, Zaher
Unknown Affiliation
Schafmayer, Clemens
Unknown Affiliation
Kienle, Peter
Unknown Affiliation
Alexandrou, Andreas P.
Unknown Affiliation
Chouliaras, Christos
Unknown Affiliation
Balalis, Dimitrios
Unknown Affiliation
Korkolis, Dimitrios P.
Unknown Affiliation
Manatakis, Dimitrios K.
Unknown Affiliation
Besznyǎk, István
Unknown Affiliation
Bursics, Attila
Unknown Affiliation
Mehraj, Asif
Unknown Affiliation
Cahill, Ronan A.
Unknown Affiliation
Mulsow, Jürgen J.W.
Unknown Affiliation
Ryan, Eanna J.
Unknown Affiliation
Gefen, Rachel
Unknown Affiliation
Raguan, Barak
Unknown Affiliation
Wasserberg, Nir
Unknown Affiliation
Freund, Michael R.
Unknown Affiliation
Tulchinsky, Hagit
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Agresta, Ferdinando
Unknown Affiliation
Tamini, Nicolò
Unknown Affiliation
Gianotti, Luca
Unknown Affiliation
Morino, Mario
Unknown Affiliation
Delrio, Paolo
Unknown Affiliation
Montroni, Isacco
Unknown Affiliation
Spinelli, Antonino
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Sacchi, Matteo M.
Unknown Affiliation
Frontali, A.
Unknown Affiliation
Ceriani, Valerio
Unknown Affiliation
Rosati, Riccardo
Unknown Affiliation
Elmore, Ugo
Unknown Affiliation
Casoni Pattacini, Gianmaria
Unknown Affiliation
Foschi, D. A.
Unknown Affiliation
Di Saverio, S.
Unknown Affiliation
Birindelli, Arianna
Unknown Affiliation
Romano, Giovannni Maria
Unknown Affiliation
Belli, Andrea A.B.
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Falato, Armando
Unknown Affiliation
Tugnoli, Gregorio
Unknown Affiliation
Podda, Mauro Guido
Unknown Affiliation
Galleano, R.
Unknown Affiliation
Feroci, Francesco
Unknown Affiliation
Cocorullo, Gianfranco F.
Unknown Affiliation
Licari, Leo
Unknown Affiliation
Sileri, Pierpaolo
Unknown Affiliation
Saraceno, Federica
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Chirletti, Pietro
Unknown Affiliation
Coletta, Diego
Unknown Affiliation
Mingoli, Andrea
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Sacco, Rosario
Unknown Affiliation
Tonini, Valeria
Unknown Affiliation
Sartori, Alberto
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Balducci, Genoveffa
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Bocchetti, Tommaso
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Anania, Gabriele
Unknown Affiliation
Carcoforo, Paolo
Unknown Affiliation
Yamamoto, Takayuki
Unknown Affiliation
Venskutonis, Donatas
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Eismontas, Vitalijus
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Dulskas, Audrius
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Zakaria, Andee Dzulkarnaen
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Wong, Michael Pak Kai
Unknown Affiliation
Ahallat, Mohamed
Unknown Affiliation
Hrora, Abdelmalek El Malk
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Majbar, Anass Mohammed
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Westerduin, Emma
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Tanis, Pieter Job
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Smakman, Niels
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Zimmerman, David D.E.
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Stijns, Jasper
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den Boer, Frank C.
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Anwer, Mariyah
Unknown Affiliation
Qureshi, Ahmad Uzair
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Rama, Nuno José Gomes
Unknown Affiliation
Domingos, Hugo
Unknown Affiliation
Cunha, Miguel F.
Unknown Affiliation
Martins, Ruben S.
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Simoes, Joana F.F.
Unknown Affiliation
Scurtu, Radu Razvan
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Calu, Valentin
Unknown Affiliation
Enciu, Octavian
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Mogoanta, Stelian Ştefǎniţǎ
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Beuran, Mircea
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Ciubotaru, Cezar I.
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Copãescu, Cǎtǎlin Andu
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Katorkin Sergei, E.
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Vardanyan, A. V.
Unknown Affiliation
Ngu, James Chi Yong
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Teo, Nan Zun
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Rems, Miran
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Blas, Juan Luis
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Cuadrado-Ayuso, Marta Bailón
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Ruíz-Camps, Isabel
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Gómez-Ruiz, Marcos
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ROS, EMILIO Peña
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Sanchiz-Cárdenas, Elena M.
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Jime´nez-Rodrı´guez, Rosa María
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De la Portilla, Fernando De La
Unknown Affiliation
Millán-Scheiding, Mónica M.
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Flor-Lorente, Blas
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Myrelid, Pär E.
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Buchwald, Pamela L.
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Syk, Ingvar K.
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Adamina, Michel
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Oertli, Daniel
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Hahnloser, Dieter
Unknown Affiliation
Hübner, Martin
Unknown Affiliation
Ris, Frédéric
Unknown Affiliation
Morel, Philippe
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Kozak, Osman Samil
Unknown Affiliation
Işık, Özgen
Unknown Affiliation
Çolak, Elif F.
Unknown Affiliation
Fearnhead, Nicola S.
Unknown Affiliation
Zammit, Matthew
Unknown Affiliation
Seretis, Fotios
Unknown Affiliation
Jones, Conor Stephen
Unknown Affiliation
Agarwal, Tushar L.
Unknown Affiliation
Boland, Michael R.
Unknown Affiliation
McArthur, David R.
Unknown Affiliation
Statistics
Citations: 50
Authors: 184
Identifiers
Doi:
10.1111/codi.14362
ISSN:
14628910
Research Areas
Health System And Policy
Study Design
Cohort Study