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.
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Cathartics / therapeutic use
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Chemoprevention
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Cystectomy / methods*
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Gastrointestinal Agents / therapeutic use
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Humans
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Ileus / prevention & control
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Ileus / therapy
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Piperidines / therapeutic use
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Postoperative Care / methods
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Postoperative Complications / prevention & control*
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Postoperative Complications / therapy
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Preoperative Care / methods
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Surgical Wound Infection / prevention & control
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Surgical Wound Infection / therapy
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Urinary Diversion / methods*
Substances
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Anti-Bacterial Agents
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Cathartics
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Gastrointestinal Agents
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Piperidines
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alvimopan