Actively Recruiting
Comparison of Outcome of Colostomy Reversal in Pediatric Patients With Enhanced Recovery After Surgery Versus Traditional Care Protocols
Led by Children Hospital Faisalabad · Updated on 2025-10-03
60
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This trial focuses on children aged 2 to 13 years undergoing colostomy reversal surgery. It aims to determine whether an Enhanced Recovery After Surgery (ERAS) protocol helps children recover faster and reduces their hospital stay compared to traditional care. The study addresses a gap in pediatric surgical care, especially in South Asia, by assessing if ERAS can improve recovery without added complications. Participants are randomly assigned to one of two care strategies before and after their surgery. The ERAS group will experience shorter fasting times, no mechanical bowel cleansing, early pain control using non-opioid methods, and early feeding after surgery. The traditional care group will follow the usual longer bowel preparation, overnight fasting, opioid pain medications, nasogastric tube placement, and delayed food intake. Experienced pediatric surgeons will perform all surgeries. Children will be closely monitored daily after surgery until they can eat a solid meal without vomiting, which marks when they can leave the hospital. Assessments include vital signs, abdominal exams, blood tests, and feeding tolerance. The main measure of success is the length of hospital stay from surgery until discharge. Data will be analyzed to compare outcomes between the two care approaches, considering factors like age and diagnosis.
CONDITIONS
Brief Title
Pediatric Colostomy Reversal: Traditional Care vs. Enhanced Recovery After Surgery
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients with Colostomy
- Admitted for Reversal of colostomy
- Aged between 2 and 13 years
You will not qualify if you...
- Patients with endocrinal abnormalities
- Patients with cardiac abnormalities
- Patients with spinal abnormalities
- Patients with bleeding abnormalities
- Patients who have undergone previous multiple abdominal surgeries
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 3 to 14 days
Participants undergo colostomy reversal surgery with perioperative care according to either the Enhanced Recovery After Surgery (ERAS) protocol or the Traditional Care Protocol (TCP). Postoperative management includes pain control, nasogastric tube management, and initiation of oral intake as per assigned protocol.
Daily in-hospital assessments
Duration - Until hospital discharge within 3 to 14 days post-surgery
Participants are monitored until discharge once they tolerate at least one age-appropriate solid meal without vomiting for six hours.
Daily visits until discharge
Trial Site Locations
Total: 1 location
1
Children Hospital and Institute of Child Health Faisalabad
Faisalābad, Punjab Province, Pakistan
Actively Recruiting
Research Team
S
Salman Ali, MBBS
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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