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Comparison of Outcome of Three Days Bowel Preparation vs No Bowel Preparation in Patients of Colostomy Reversal
Sponsor: University of Child Health Sciences and Children's Hospital, Lahore
Summary
The goal of this trial is to compare the outcomes of colostomy reversal with three days bowel preparation with no bowel preparation in terms of anastomotic leakage, surgical site infection and hospital stay. The important question this trial aims to answer is: 1\. is there any difference in outcomes after colostomy reversal with three days gut preparation pre-operatively vs no gut preparation? This prospective Randomized Controlled trial will include children with colostomy divided into two groups: Group A: No Mechanical Bowel Preparation Group B: 3 Days Mechanical Bowel Preparation Participants of Group A will be admitted 1 day prior to surgery date as they require no special preparation before surgery. They will be made Nil per oral 6 hours prior to surgery. Group B participants will be admitted 3 days prior to surgery. These participants will be restricted to fiber rich diet and milk 72 hours prior to surgery. They will be shifted to clear liquids 24 hours prior to surgery. Normal saline enema will be given 8 hourly through the stoma as well as per rectally by the trained person. Comparative outcomes will be: 1. Anastomotic leakage 2. Hospital Stay 3. Wound infection
Key Details
Gender
All
Age Range
1 Year - 15 Years
Study Type
INTERVENTIONAL
Enrollment
80
Start Date
2025-01-08
Completion Date
2026-03
Last Updated
2025-03-30
Healthy Volunteers
No
Interventions
No Mechanical Bowel Preparation
In this group patients will not receive any mechanical bowel preparation prior to undergoing colostomy reversal.
Mechanical Bowel Preparation
In this group patients will receive 3 days mechanical bowel preparation prior to undergoing colostomy reversal.
Locations (1)
University of Child Health Sciences, The Children's Hospital
Lahore, Punjab Province, Pakistan