Intestinal Segments and Urinary Diversion: Difference between revisions

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 === Rationale for Bowel Preparation ===
 *Solid feces may place strain on the anastomosis in the early phase of healing and result in ischemia with subsequent perforation
+*In experimental animals, an anastomosis with vascular compromise at the anastomotic line, which would normally result in perforation, heals if the bowel has been properly prepared with antibiotics
 *Infectious complications after radical cystectomy that are a direct result of fecal contamination include
 **Peritonitis
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 # '''Cirrhosis'''
 # '''Severe CKD'''
+===== Adverse Events =====
+*'''Hypokalemia'''
+**'''Vigorous bowel cleansing, even with Go-Lytely or other electrolyte solutions, will often result in low potassium.'''
+*** '''Characteristic signs include muscular weakness with poor respiratory effort causing decreased ventilation in the presence of a normal chest x-ray.'''
+*'''Diarrhea'''
 ==== Antibiotic ====
 * '''<span style="color:#ff0000">Reduces the bacterial concentration'''
-* '''In experimental animals, an anastomosis with vascular compromise at the anastomotic line, which would normally result in perforation, heals if the bowel has been properly prepared with antibiotics'''
 * '''A randomized trial in elective colorectal surgery found that PREoperative antibiotics did not reduce the risk of clinical infections§'''
-* '''PERIoperative IV antibiotics appear to be the most important means of preventing infectious complications of intestinal surgery. Systemic antibiotics must be given before the operative event if they are to be effective.'''
+* '''PERIoperative IV antibiotics appear to be the most important means of preventing infectious complications of intestinal surgery.'''
+**'''Systemic antibiotics must be given before the operative event if they are to be effective.'''
 * '''If perioperative antibiotics are given, they should be effective against anaerobes because it is complications from these organisms against which perioperative antibiotics appear to be particularly effective.'''
-'''Adverse Events'''
-*'''Vigorous bowel cleansing, even with Go-Lytely or other electrolyte solutions, will often result in low potassium.'''
+===== '''Adverse Events''' =====
-** '''Characteristic signs include muscular weakness with poor respiratory effort causing decreased ventilation in the presence of a normal chest x-ray.'''
+*'''Diarrhea'''
-*'''Bowel preparations may result in diarrhea and pseudomembranous enterocolitis.'''
+*'''Pseudomembranous enterocolitis'''
-** '''Treatment involves the administration of vancomycin or metronidazole and discontinuance of other antibiotics that the patient is receiving.'''
+** '''Treatment involves the administration of vancomycin or metronidazole and discontinuance of other antibiotics that the patient is receiving'''
 == Selecting the segment of intestine ==