Bowel cleansing, dysbiosis, and postoperative infection: the dots are starting to connect

Author:

Alverdy John C1ORCID

Affiliation:

1. University of Chicago Pritzker School of Medicine, Surgery , Chicago, Illinois , USA

Abstract

When preparing the bowel for surgery using purgative cleansing of either oral polyethylene glycol versus 0.9% normal saline enemas, the degree of dysbiosis is the same and is temporary recovering toward normal by postoperative day 30. When examining all infections, independent of treatment group, it appears that many infections arise from among the gut microbiota

Publisher

Oxford University Press (OUP)

Reference6 articles.

1. A review of bowel preparation before colorectal surgery;Ju;Ann Coloproctol,2021

2. Antibiotic-induced collateral damage to the microbiota and associated infections;de Nies;Nat Rev Microbiol,2023

3. Prevention of surgical infections: it’s more than antibiotics;Fry;Surg Infect (Larchmt),2019

4. Bowel Preparation Impact on the Intestinal Microbiome in patients undergoing left-sided colorectal cancer surgery: results from Pilot randomized control trial comparing Oral Preparation vs Enema;Zukauskaite;Z Gastroenterol,2022

5. A novel nonantibiotic gut-directed strategy to prevent surgical site infections;Hyoju;Ann Surg,2022

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