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. 2023 Feb 7;2023(2):CD014909. doi: 10.1002/14651858.CD014909.pub2

Abis 2019.

Methods Study design: randomised clinical trial
Duration of trial: May 2013 to March 2017
Duration of follow‐up: follow‐up was done at least twice a year in the first 2 years after surgery and then yearly according the Dutch guidelines on colorectal cancer
Country of origin: the Netherlands
Participants Baseline characteristics
Number randomised: 485
Number analysed: 565
Number of eligible participants that could be included in our meta‐analysis: 316
Only study patients who underwent preoperative mechanical bowel preparation (left‐sided colonic, sigmoid and low anterior resections) can be included in our meta‐analysis. A request to the study authors to provide us with the primary data for the inclusion of eligible patients from the study has not yet been fulfilled.
Interventions Comparison
  • Intervention: SDD

  • Control: no oral antibiotics


Mechanical bowel preparation
Was given for left‐sided colectomies, sigmoid and anterior resections.
Oral antibiotics
Oral colistin, tobramycin and amphotericin B were administered to patients in the SDD group to decontaminate the digestive tract.
Perioperative intravenous antibiotic prophylaxis
Both treatment and control group received intravenous cefazolin and metronidazole for perioperative prophylaxis.
Outcomes Outcomes sought in review and reported in trial
  • SSI

  • Anastomotic leakage

  • Mortality

  • Incidence of postoperative ileus

  • Length of hospital stay


Outcomes sought but not reported in trial
  • Postoperative complications (mild D/C I + II or severe D/C III+IV)

  • Side effects of Intervention(s)


Outcomes reported in trial but not used in review
  • Reoperation

  • Urinary tract infection

  • Pulmonary complications

  • Pulmonary embolism

  • Cardiac

  • Fascial dehiscence

Notes Source of funding: this study was funded by the DutchDigestive Foundation, Spaarne Gasthuis Academy Fund. The funder had no role in study design, data collection, data analysis, data interpretation or writing of the report.
Conflicts of interest: the authors declare no conflict of interest
Ethics approval: the ethics board at the VU University Medical Centre and the institutional review board at each participating centre approved the study.
Informed consent: all patients provided written informed consent.
Clinical trials registration: the trial was registered with ClinicalTrials.gov (number NCT01740947).
Sample size calculation: considering a 9 per cent anastomotic leakage rate in the control group, based on numbers of the Dutch Surgical Colorectal Audit at onset of the trial, and an estimated 4 percent in the intervention group, 381 patients needed to be included per treatment arm (total of 762 patients).

SDD:  selective decontamination of the digestive tract; SSI: surgical site infections