Our Summary

This research paper conducted a thorough review and analysis of existing studies to find out whether probiotics or synbiotics (combinations of probiotics and prebiotics) can help prevent infections after colorectal surgery. They looked at trials where these supplements were used around the time of surgery, and compared the results with standard care or a placebo.

The results were promising - they found that patients who took probiotics or synbiotics had fewer infections overall, as well as fewer specific types of infections, like those in the surgical site, lungs, and urinary tract. The only areas where they didn’t see a significant reduction were in leaks from the surgical join (anastomotic leaks) and wound infections.

However, whether probiotics or synbiotics were more effective didn’t make a significant difference to the results.

In conclusion, the study suggests that these supplements could be a useful way to reduce the risk of post-surgery infections. However, they note that more research is needed to determine the best types and timings of these supplements before they can be officially included in post-surgery care plans.

FAQs

  1. Can probiotics or synbiotics help prevent infections after colorectal surgery?
  2. What types of infections were reduced in patients who took probiotics or synbiotics after colorectal surgery?
  3. Is there a significant difference in effectiveness between probiotics and synbiotics in preventing post-surgery infections?

Doctor’s Tip

One helpful tip a doctor may tell a patient about colorectal surgery is to consider taking probiotics or synbiotics before and after the procedure to help reduce the risk of infections. It is important to discuss with your healthcare provider before starting any new supplements to ensure they are safe and appropriate for your individual situation. Additionally, following your doctor’s post-operative care instructions, including proper wound care and antibiotic use, can also help prevent infections and promote a smooth recovery.

Suitable For

Patients who are typically recommended for colorectal surgery include those with conditions such as colorectal cancer, inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis), diverticulitis, and other conditions that affect the colon and rectum. Additionally, patients who have experienced complications such as intestinal blockages, severe bleeding, or perforations may also require colorectal surgery. Ultimately, the decision to recommend colorectal surgery is based on the individual patient’s specific condition and needs, as well as their overall health and risk factors.

Timeline

Before colorectal surgery, a patient typically undergoes a series of preoperative assessments, consultations, and tests to ensure they are fit for surgery. This may include blood tests, imaging scans, and bowel preparation to clean out the colon. The patient may also meet with the surgical team to discuss the procedure, potential risks, and recovery expectations.

After surgery, the patient is closely monitored in the recovery room before being transferred to a hospital room. They may experience pain, fatigue, and discomfort, and will be given pain medication and fluids through an IV. The patient will gradually start to resume eating and drinking, beginning with clear liquids and progressing to solid foods. They will also be encouraged to get up and walk around to prevent complications like blood clots.

In the days following surgery, the patient will continue to be monitored for signs of infection, bleeding, or other complications. They may need to stay in the hospital for a few days to a week, depending on the type of surgery and their recovery progress. Once discharged, the patient will be given instructions on wound care, pain management, diet, and activity restrictions.

Overall, the recovery process after colorectal surgery can vary depending on the individual patient and the specifics of the surgery. It is important for patients to follow their healthcare team’s guidance and attend follow-up appointments to ensure a smooth recovery and optimal outcomes.

What to Ask Your Doctor

Some questions a patient should ask their doctor about colorectal surgery and the use of probiotics or synbiotics to prevent infections include:

  1. Can probiotics or synbiotics help reduce my risk of infections after colorectal surgery?
  2. What specific types of infections can probiotics or synbiotics help prevent?
  3. Are there any potential risks or side effects associated with taking probiotics or synbiotics before or after surgery?
  4. How should I incorporate probiotics or synbiotics into my pre- and post-surgery care plan?
  5. Are there specific strains or formulations of probiotics or synbiotics that are recommended for colorectal surgery patients?
  6. How soon before surgery should I start taking probiotics or synbiotics, and for how long should I continue taking them after surgery?
  7. Will taking probiotics or synbiotics interfere with any other medications or supplements I am currently taking?
  8. Are there any dietary or lifestyle changes I should make in conjunction with taking probiotics or synbiotics to maximize their effectiveness?
  9. How will I know if the probiotics or synbiotics are working to prevent infections after surgery?
  10. Are there any ongoing research studies or clinical trials investigating the use of probiotics or synbiotics in colorectal surgery patients that I should be aware of?

Reference

Authors: Veziant J, Bonnet M, Occean BV, Dziri C, Pereira B, Slim K. Journal: Nutrients. 2022 Jul 26;14(15):3066. doi: 10.3390/nu14153066. PMID: 35893922