期刊
WORLD JOURNAL OF SURGICAL ONCOLOGY
卷 16, 期 -, 页码 -出版社
BMC
DOI: 10.1186/s12957-018-1440-4
关键词
Bowel preparation; Mechanical bowel preparation; Colorectal surgery; Survey
资金
- Beijing Municipal Science & Technology Commission [Z161100000116090]
- National Key Research and Development Program of the Ministry of Science and Technology of China [2016YFC0905303]
- CAMS Innovation Fund for Medical Sciences (CIFMS) [2016-I2M-1-001]
- Beijing Science and Technology Program [D17110002617004]
Background: The optimal preoperative bowel preparation for colorectal surgery remains controversial. However, recent studies have established that bowel preparation varies significantly among countries and even surgeons at the same institution. This survey aimed to obtain information on the current practice patterns of bowel preparation for colorectal surgery in China. Methods: A paper-based survey was circulated to the members of the Chinese Society of Colorectal Cancer (CSCC). The survey responses were collected and analyzed. Statistical analysis was performed for all the categorical variables according to the responses to individual questions. Results: Three hundred forty-one members completed the questionnaire. Regarding surgical practice, 203 (59.5%) performed > 50% of the colorectal operations laparoscopically or robotically; the use of mechanical bowel preparation (MBP) alone was significantly higher (63.5 vs 31.9%; P < 0.001). The respondents who performed > 200 colonic or rectal resections provided significantly more MBP alone (79.6 vs 39.1%, P < 0.001; 76.6 vs 43.2%, P < 0.001; respectively). Among hospitals with fewer than 500 beds, 52.4% of the respondents used MBP + oral antibiotics preparation (OAP) + enema, a significantly higher percentage than the respondents of hospitals with more than 500 beds (P < 0.001). Nearly 40% of the respondents prescribed OAP in regimens; meanwhile, 74.8% prescribed preoperative intravenous antibiotics. Conclusions: The study demonstrates considerable variation among members from the CSCC. These findings should be considered when developing multicenter trials and to provide more definitive answers.
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