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结直肠手术中的肠道准备：清算之日已经到来。

Bowel preparation in colorectal surgery: the day of reckoning is here.

出版信息

Br J Surg. 2021 Apr 30;108(4):340-341. doi: 10.1093/bjs/znab021.

DOI:10.1093/bjs/znab021
PMID:33793758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8815791/
Abstract

Before the use of mechanical bowel preparation is either eliminated or subjected to a clinical trial, its scientific premise should be reconsidered, and consensus of its redesign discussed by a panel of experts including surgeons, infectious disease specialists, microbiome scientists, and clinical trialists.

摘要

在机械性肠道准备被淘汰或进行临床试验之前，应该由包括外科医生、传染病专家、微生物组科学家和临床试验专家在内的专家组重新考虑其科学前提，并就其重新设计达成共识。

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Bowel preparation in colorectal surgery: the day of reckoning is here.结直肠手术中的肠道准备：清算之日已经到来。
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Will My Patient Survive an Anastomotic Leak? Predicting Failure to Rescue Using the Modified Frailty Index.我的患者会在吻合口漏的情况下存活吗？使用改良脆弱指数预测抢救失败。
Ann Surg Oncol. 2021 May;28(5):2779-2787. doi: 10.1245/s10434-020-09221-y. Epub 2020 Oct 23.
2
Antibiotic prophylaxis in colorectal surgery: are oral, intravenous or both best and is mechanical bowel preparation necessary?结直肠手术中的抗生素预防：口服、静脉注射还是两者联合最佳，机械性肠道准备是否必要？
Tech Coloproctol. 2020 Dec;24(12):1233-1246. doi: 10.1007/s10151-020-02301-x. Epub 2020 Jul 30.
3
Intestinal methicillin-resistant causes prosthetic infection via 'Trojan Horse' mechanism: Evidence from a rat model.肠道耐甲氧西林菌通过“特洛伊木马”机制导致假体感染：来自大鼠模型的证据。
Bone Joint Res. 2020 May 16;9(4):152-161. doi: 10.1302/2046-3758.94.BJR-2019-0205.R1. eCollection 2020 Apr.
4
Primary anastomosis and nonrestorative resection for perforated diverticulitis with peritonitis: meta-analysis of randomized trials.原发性吻合术与非恢复性切除术治疗伴有腹膜炎的穿孔性憩室炎：随机试验的荟萃分析
Colorectal Dis. 2020 Oct;22(10):1245-1257. doi: 10.1111/codi.15016. Epub 2020 Mar 17.
5
Re-examining causes of surgical site infections following elective surgery in the era of asepsis.重新审视无菌时代择期手术后手术部位感染的原因。
Lancet Infect Dis. 2020 Mar;20(3):e38-e43. doi: 10.1016/S1473-3099(19)30756-X. Epub 2020 Jan 29.
6
Bowel preparation under siege.肠道准备备受争议。
Br J Surg. 2020 Feb;107(3):167-170. doi: 10.1002/bjs.11454. Epub 2019 Dec 24.
7
A comprehensive review of randomized clinical trials in three medical journals reveals 396 medical reversals.对三家医学期刊的随机临床试验进行综合回顾，发现有 396 项医学研究结果发生了逆转。
Elife. 2019 Jun 11;8:e45183. doi: 10.7554/eLife.45183.
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Resection with primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: a systematic review and meta-analysis.穿孔性憩室炎伴腹膜炎行一期吻合与非修复性切除的疗效比较：系统评价和荟萃分析。
Colorectal Dis. 2018 Sep;20(9):753-770. doi: 10.1111/codi.14237. Epub 2018 May 15.
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Br J Surg. 2018 Sep;105(10):1368-1376. doi: 10.1002/bjs.10859. Epub 2018 Apr 16.
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Br J Surg. 2018 Jan;105(2):e131-e141. doi: 10.1002/bjs.10760.