Use of Bowel Preparation in Elective Colon and Rectal Surgery

Publication Date: January 1, 2019
Last Updated: March 14, 2022

Recommendations

Mechanical bowel preparation (MBP) combined with preoperative oral antibiotics is typically recommended for elective colorectal resections. (1B)
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Preoperative MBP alone, without oral antibiotics, is generally not recommended for patients undergoing elective colorectal surgery. (1A)
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Preoperative oral antibiotics alone, without mechanical preparation, are generally not recommended for patients undergoing elective colorectal surgery. (2C)
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Preoperative enemas alone, without MBP and oral antibiotics, are generally not recommended for patients undergoing elective colorectal surgery. (2B)
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Recommendation Grading

Overview

Title

Use of Bowel Preparation in Elective Colon and Rectal Surgery

Authoring Organization

American Society of Colon and Rectal Surgeons

Publication Month/Year

January 1, 2019

Last Updated Month/Year

June 12, 2023

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Female, Male, Adolescent, Adult, Older adult

Health Care Settings

Hospital, Operating and recovery room, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Counseling, Prevention, Management

Diseases/Conditions (MeSH)

D003107 - Colorectal Surgery, D011300 - Preoperative Care, D012002 - Rectal Diseases

Keywords

elective colon and rectal surgery, rectal surgery, colon surgery

Source Citation

Migaly, John M.D.1; Bafford, Andrea C. M.D.2; Francone, Todd D. M.D., M.P.H.3; Gaertner, Wolfgang B. M.D., M.Sc.4; Eskicioglu, Cagla M.D., M.Sc., F.R.C.S.C.5; Bordeianou, Liliana M.D., M.P.H.3; Feingold, Daniel L. M.D.6; Steele, Scott R. M.D., M.B.A.7; ; On behalf of the Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Use of Bowel Preparation in Elective Colon and Rectal Surgery, Diseases of the Colon & Rectum: January 2019 - Volume 62 - Issue 1 - p 3-8 doi: 10.1097/DCR.0000000000001238
 

Supplemental Methodology Resources

Data Supplement, Data Supplement