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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1992-3-26
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pubmed:abstractText |
A prospective, randomized trial of inpatient vs. outpatient bowel preparation for elective colorectal surgery was performed in 100 consecutive patients. Bowel preparation was standardized for both groups and consisted of 4 liters of Colyte (Reed & Carnrick, Piscataway, NJ) and oral neomycin and Flagyl (G. D. Searle & Co., Skokie, IL) the day before surgery. Patients were randomized into four subcategories: ileocolostomy, colocolostomy, abdominal perineal resection, and other. Tap water enemas were administered on the morning of surgery to ensure and adequate mechanical preparation. Ninety-six percent of the inpatient group and 97 percent of the outpatient group were able to drink three-fourths or more of the oral lavage preparation (P = 0.789, Fisher's exact text). A mean of 2.26 tap water enemas was required to achieve clear returns for the inpatient group, compared with 2.28 tap water enemas for the outpatient group (P = 0.221, Fisher's exact test). The adequacy of the bowel preparation as graded by the primary surgeon was good (84 percent), fair (12 percent), and poor (4 percent) in the outpatient group (P = 0.673, Fisher's exact test). Wound infection developed in 4 percent of the inpatient group and 4 percent of the outpatient group (P = 1.0, Fisher's exact test). Anastomotic leak of intra-abdominal abscess was seen in one patient in each group (P = 1.0, Fisher's exact test). We conclude that outpatient bowel preparation is as effective as inpatient bowel preparation for elective colorectal surgery and offers the advantage of cost savings and shorter hospitalization.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Electrolytes,
http://linkedlifedata.com/resource/pubmed/chemical/Golytely,
http://linkedlifedata.com/resource/pubmed/chemical/Metronidazole,
http://linkedlifedata.com/resource/pubmed/chemical/Neomycin,
http://linkedlifedata.com/resource/pubmed/chemical/Polyethylene Glycols
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0012-3706
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
35
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
223-6
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:1740065-Adult,
pubmed-meshheading:1740065-Aged,
pubmed-meshheading:1740065-Aged, 80 and over,
pubmed-meshheading:1740065-Ambulatory Care,
pubmed-meshheading:1740065-Colon,
pubmed-meshheading:1740065-Diet,
pubmed-meshheading:1740065-Electrolytes,
pubmed-meshheading:1740065-Female,
pubmed-meshheading:1740065-Hospitalization,
pubmed-meshheading:1740065-Humans,
pubmed-meshheading:1740065-Male,
pubmed-meshheading:1740065-Metronidazole,
pubmed-meshheading:1740065-Middle Aged,
pubmed-meshheading:1740065-Neomycin,
pubmed-meshheading:1740065-Polyethylene Glycols,
pubmed-meshheading:1740065-Preoperative Care,
pubmed-meshheading:1740065-Prospective Studies,
pubmed-meshheading:1740065-Rectum,
pubmed-meshheading:1740065-Therapeutic Irrigation
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pubmed:year |
1992
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pubmed:articleTitle |
Prospective, randomized trial of inpatient vs. outpatient bowel preparation for elective colorectal surgery.
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pubmed:affiliation |
Scott & White Clinic, Temple, Texas 76508.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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