Comparison of the risk of surgical site infection and feasibility of surgery between sennoside versus polyethylene glycol as a mechanical bowel preparation of elective colon cancer surgery: a randomized controlled trial

Surgery Today
Yusuke TajimaErito Mochiki

Abstract

To validate the usefulness of sennoside as a substitute for polyethylene glycol (PEG) as a mechanical bowel preparation (MBP) for elective colon cancer surgery. We performed a prospective randomized non-inferiority trial comparing the use of sennoside and PEG in MBP for elective colon cancer surgery, in terms of the risk of surgical site infection (SSI) and the feasibility of surgery. The overall incidence of SSIs was 2.9 % in the sennoside group (n = 68) and 6.3 % in the PEG group (n = 63) with a difference of 3.4 % (95 % confidence interval 6.9-10.6 %). The intraoperative spillage of the stool materials in the sennoside and PEG groups was 4.4 and 3.1 %, respectively, and was not significantly different (p = 0.71), even the upstream stool consistency, was more frequently observed to be non-stool in the PEG group (65.1 vs. 30.9 %, p < 0.01). MBP with sennoside could be a substitution for PEG in elective colon cancer surgery.

References

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Jun 23, 2012·Asian Journal of Surgery·Keiichiro IshibashiHideyuki Ishida

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Citations

Apr 19, 2018·Acta Cirúrgica Brasileira·Humberto Fenner Lyra JuniorArmando José D Acâmpora
Feb 6, 2018·World Journal of Gastroenterology : WJG·Katie E RollinsDileep N Lobo

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