Comparison of Outcome of Colostomy Reversal in Pediatric Patients With Enhanced Recovery After Surgery Versus Traditional Care Protocols.

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this clinical trial is to learn whether using an Enhanced Recovery After Surgery (ERAS) protocol helps children recover faster after colostomy reversal compared with traditional care. The main question it aims to answer is: Does ERAS lower the number of days children need to stay in the hospital after colostomy reversal compared with traditional care? Researchers will compare two groups: ERAS group - Children receive shorter pre-surgery fasting, no mechanical bowel preparation, early pain control, and early feeding after surgery. Traditional care group - Children receive the usual long bowel preparation, overnight fasting, opioid pain medicine, and a longer period without food after surgery. Participants will: Be randomly assigned to either the ERAS or traditional care group Have their colostomy surgically closed by experienced pediatric surgeons Be monitored daily until they can eat a solid meal without vomiting; this marks the end of their hospital stay The study will enroll 60 children ages 2-13 at Children's Hospital Faisalabad, Pakistan. Researchers will measure length of hospital stay from surgery until discharge as the main outcome.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 2
Maximum Age: 13
Healthy Volunteers: f
View:

• Patients with Colostomy

• Admitted for Reversal of colostomy

Locations
Other Locations
Pakistan
Children Hospital and Institute of Child Health Faisalabad
RECRUITING
Faisalābad
Contact Information
Primary
Salman Ali, MBBS
SalmanAli@live.com
+923000680882
Time Frame
Start Date: 2025-08-01
Estimated Completion Date: 2025-11
Participants
Target number of participants: 60
Treatments
Experimental: Enhanced Recovery after Surgery (ERAS)
Patients undergoing colostomy reversal managed with the Enhanced Recovery After Surgery (ERAS) protocol, which emphasizes reduced fasting, avoidance of mechanical bowel preparation, early postoperative oral feeding, and multimodal non-opioid analgesia.
Active_comparator: Traditional Care Protocol
Patients undergoing colostomy reversal managed with the traditional perioperative care protocol, including three days of mechanical bowel preparation, overnight fasting before surgery, routine nasogastric tube placement, opioid-based postoperative pain control, and delayed resumption of oral intake.
Related Therapeutic Areas
Sponsors
Leads: Children Hospital Faisalabad

This content was sourced from clinicaltrials.gov