Pediatric Colostomy Reversal: Traditional Care vs. Enhanced Recovery After Surgery

Recruiting now · Not applicable

Conditions studied: Colostomy - Stoma, Stoma Reversal Procedure, ERAS

In brief

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.

Key facts

Study ID

NCT07206836

Run by

Children Hospital Faisalabad

People needed

60

Starts

2025-08-01

Expected to finish

2025-11-01

Last updated by the study team

2025-10-03

Who can join

Age: 2 and older, up to 13. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients with Colostomy
• Admitted for Reversal of colostomy

You may not qualify if…

• 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 it is running

• Children Hospital and Institute of Child Health Faisalabad — Faisalābad, Punjab Province, Pakistan (enrolling)

Full record on ClinicalTrials.gov

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