Início
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Arquivos
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v. 1 n. 2 (2020): Edição Especial 2: Anais do I Congresso Brasileiro de Saúde On-line
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Anais de Evento
EFETIVIDADE CLÍNICA DO PREPARO DO CÓLON NA CIRURGIA COLORRETAL ELETIVA - REVISÃO BIBLIOGRÁFICA
Autores
Gabriela Reis Guimarães
Elias Balbino da Silva
Juliana Jamaica Sousa da Silva
Bruno Oliveira Reis Guimarães
Ana Luisa Porto Dourado
Palavras-chave:
cirurgia, preparo de cólon, preparo do intestino
Resumo
Introdução: O preparo mecânico do cólon (PMC) consiste em um conjunto de ações que preconiza a eliminação da maior quantidade possível de conteúdo bacteriano do cólon, ações estas que incluem desde o esvaziamento mecânico como também a utilização de agentes antimicrobianos. A técnica é controversa entre cirurgiões e sociedades. Aqueles que por sua vez defendem o uso, alegam que há preocupação com deiscência anastomótica, mortalidade e infecção da ferida operatória. Entretanto, algumas correntes versam contra o uso por conta da ideia de incidência aumentada de deiscência anastomótica, distúrbios eletrolíticos, dentre outros. Objetivos: Comparar as publicações mais relevantes sobre o tema em busca de evidências da efetividade clínica ou não do preparo do cólon na cirurgia colorretal. Material e métodos: Trata-se de uma revisão literária abordando publicações hospedadas nas plataformas PubMed, UpToDate e Scielo publicadas entre os anos de 2005 a 2020. Os principais descritores utilizados foram “preparo do cólon na cirurgia colorretal”, “preparo de cólon”, “preparo mecânico de cólon”. Para a seleção final da bibliografia, foram incluídas as publicações com maior número de citações. Resultados: As cirurgias colorretais frequentemente são associadas a altas taxas de infecção e deiscência anastomótica. Nessa perspectiva, por muito tempo utilizou-se do preparo do cólon como alternativa. Estudos mais recentes compararam desfechos entre pacientes que haviam passado pelo preparo cólon e aqueles que não passaram por nenhuma intervenção. Foi evidenciado que o PMC, drenos intra abdominais ou enemas retais isoladamente não apresentam evidência de benefício clínico. Em relação aos antibióticos orais, estes apresentaram superioridade quando comparados ao PMC, diminuindo o inóculo bacteriano, tanto no lúmen intestinal quanto no campo cirúrgico. Há ainda a consideração da utilização de antibioticoprofilaxia sobretudo nos pacientes com fatores de risco para deiscência anastomótica. É considerado, ainda hoje, que a antibioticoprofilaxia associada a preparo mecânico do cólon demonstram discreto benefício no que tange a mortalidade geral, vazamento anastomótico, infecção de ferida, peritonite, infecção do local cirúrgico e reoperação. Conclusão: Mostra-se inequívoco que PMC isoladamente não apresenta evidência de benefício clínico. Entretanto, apesar de modestos, os benefícios da associação PMC e antibioticoprofilaxia tem se reverberado positivamente nos últimos estudos propostos.
Como Citar
Reis Guimarães, G. ., Balbino da Silva, E. ., Jamaica Sousa da Silva, J. ., Oliveira Reis Guimarães, B. ., & Porto Dourado, A. L. . (2020). EFETIVIDADE CLÍNICA DO PREPARO DO CÓLON NA CIRURGIA COLORRETAL ELETIVA - REVISÃO BIBLIOGRÁFICA. Revista Multidisciplinar Em Saúde , 1 (2), 82. Recuperado de https://editoraime.com.br/revistas/rems/article/view/294
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