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Invited Commentary
October 20, 2021

Bowel Preparation for Colorectal Surgery: Have All Questions Been Answered?

Author Affiliations
  • 1Department of Surgery, School of Health and Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
  • 2Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham University Hospitals Trust and University of Nottingham, Queen’s Medical Centre, Nottingham, United Kingdom
  • 3MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham, United Kingdom
JAMA Surg. 2022;157(1):41-42. doi:10.1001/jamasurg.2021.5273

Rosenberg and colleagues1 first proposed the use of nonabsorbable oral antibiotic preparation (OAB) for colorectal surgery in 1971. In a randomized clinical trial, they demonstrated a reduction in surgical site infection and anastomotic leak rates after combined mechanical bowel preparation (MBP) and 1 or 2 nonabsorbable oral antibiotics (phthalylsulphathiazole and phthalylsulphathiazole and neomycin, respectively) compared with MBP alone.

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