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Pediatric Colostomy Reversal: Traditional Care vs. Enhanced Recovery After Surgery
Sponsor: Children Hospital Faisalabad
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.
Official title: Comparison of Outcome of Colostomy Reversal in Pediatric Patients With Enhanced Recovery After Surgery Versus Traditional Care Protocols.
Key Details
Gender
All
Age Range
2 Years - 13 Years
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2025-08-01
Completion Date
2025-11
Last Updated
2025-10-03
Healthy Volunteers
No
Interventions
Enhanced Recovery after Surgery Protocol
reduced fasting, no mechanical bowel prep, early feeding, non-opioid analgesia.
Traditional Care Protocol
Participants receive standard peri-operative management for colostomy reversal. This includes three days of mechanical bowel preparation with oral laxatives and clear fluids, overnight fasting before surgery, routine nasogastric tube placement, opioid-based postoperative pain control, and a nil-per-mouth regimen for at least three days after surgery before gradually resuming oral intake.
Locations (1)
Children Hospital and Institute of Child Health Faisalabad
Faisalābad, Punjab Province, Pakistan