Colostomy reversal in children: ERAS versus traditional care
Comparison of Outcome of Colostomy Reversal in Pediatric Patients With Enhanced Recovery After Surgery Versus Traditional Care Protocols.
This test will see if an Enhanced Recovery After Surgery (ERAS) approach helps children recover faster and go home sooner after colostomy reversal compared with traditional care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 2 Years to 13 Years |
| Sex | All |
| Sponsor | Children Hospital Faisalabad Academic / other |
| Locations | 1 site (Faisalābad, Punjab Province) |
| Trial ID | NCT07206836 on ClinicalTrials.gov |
What this trial studies
This single-center randomized trial in Faisalabad, Pakistan will enroll 60 children aged 2–13 who are scheduled for colostomy reversal and have no major comorbidities. Participants are randomly assigned to an ERAS protocol (shorter fasting, no mechanical bowel prep, multimodal non-opioid analgesia, and early feeding) or to conventional traditional care (longer bowel prep, overnight fasting, opioid-based pain control, and delayed feeding). Pediatric surgeons perform the reversals and patients are monitored daily until they can tolerate a solid meal without vomiting, which defines hospital discharge. The primary outcome is length of hospital stay in days; complications and recovery measures will also be recorded.
Who should consider this trial
Good fit: Children aged 2–13 with an existing colostomy who are admitted for planned colostomy reversal and have no major cardiac, endocrine, spinal, bleeding disorders, or multiple prior abdominal surgeries.
Not a fit: Children with significant cardiac, endocrine, spinal, or bleeding abnormalities or with multiple previous abdominal surgeries are excluded and are unlikely to benefit from the protocols tested here.
Why it matters
Potential benefit: If successful, the ERAS protocol could shorten hospital stays, speed recovery, and reduce opioid use after pediatric colostomy reversal.
How similar studies have performed: ERAS programs have shortened hospital stays in adults and in some pediatric reports, but high-quality randomized pediatric data—particularly from South Asia—are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with Colostomy * Admitted for Reversal of colostomy Exclusion Criteria: * Patients with endocrinal abnormalities * Patients with cardiac abnormalities * Patients with spinal abnormalities * Patients with bleeding abnormalities * Patients who have undergone previous multiple abdominal surgeries
Where this trial is running
Faisalābad, Punjab Province
- Children Hospital and Institute of Child Health Faisalabad — Faisalābad, Punjab Province, Pakistan (Recruiting)
Study contacts
- Study coordinator: Salman Ali, MBBS
- Email: SalmanAli@live.com
- Phone: +923000680882
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.