title: Improvements in safety and recovery following cystectomy: reassessing the role of pre-operative bowel preparation and interventions to speed return of post-operative bowel function.
abstract: For radical cystectomy, historical practice trends have favored the use of preoperative bowel preparations to reduce complications, including surgical site infections, ileus, and anastomotic leaks. However, emerging data has questioned this practice. Postoperative cystectomy care also remains in flux, as new pharmacologic agents that may potentiate earlier return of bowel function are studied. We review the current literature with regards to preoperative and postoperative cystectomy bowel management.
authors: Department of Urologic Surgery, Vanderbilt University Medical Center, A-1302 Medical Center North, Nashville, TN 37232-2765, USA. Harras.B.Zaid@Vanderbilt.edu
authors: Harras B
authors: HB
authors: Zaid
authors: Samuel D
authors: SD
authors: Kaffenberger
authors: Sam S
authors: SS
authors: Chang
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002400:Cathartics / Q000627:therapeutic use; D018890:Chemoprevention; D015653:Cystectomy / Q000379:methods*; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D045823:Ileus / Q000517:prevention & control / Q000628:therapy; D010880:Piperidines / Q000627:therapeutic use; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control* / Q000628:therapy; D011300:Preoperative Care / Q000379:methods; D013530:Surgical Wound Infection / Q000517:prevention & control / Q000628:therapy; D014547:Urinary Diversion / Q000379:methods*
chemical_list: D000900:Anti-Bacterial Agents; D002400:Cathartics; D005765:Gastrointestinal Agents; D010880:Piperidines; C419502:alvimopan
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