Observational analysis examines gut microbiome recovery in colorectal surgery patients, indicating significant impacts from surgical factors and bowel preparation.
Key Points
Postoperative gut microbiome recovery is significantly affected by surgical factors, particularly resection and bowel preparation.
Microbial diversity metrics showed significant variations, with alpha diversity returning by POD10 for colonoscopy patients and POD180 for others.
Surgical cohorts experienced substantial losses of beneficial bacteria, with resectional patients showing persistent pathogenic increases 6 months post-surgery.
Diagnosis had minimal long-term impact on microbiome recovery, though cancer patients exhibited more stability than those with diverticulitis.