Comparison of Colostomy Reversal Outcomes in Paediatric Patients with Enhanced Recovery after Surgery (ERAS) vs. Traditional Care Protocol (TCP)
DOI:
https://doi.org/10.51985/JBUMDC2025828Keywords:
Anorectal malformation, Colostomy, Hirschsprung diseaseAbstract
Objective: Comparing postoperative outcomes, particularly hospital length of stay (LOS), between paediatric patients
undergoing colostomy reversal following Enhanced Recovery After Surgery (ERAS) and Traditional Care Protocol (TCP).
Study Design and Setting: This randomized clinical trial (RCT) was conducted at the Children’s Hospital & Institute of
Child Health, Faisalabad.
Methodology: Sixty paediatric patients (aged 2–13 years) who underwent colostomy reversal were enrolled in the study,
over a period of three months from the date of commencement. A non-probability consecutive sampling technique was
used to recruit patients and randomize them into the ERAS group (n = 30) or the TCP group (n = 30). Categorical variables,
such as gender and diagnosis, were summarised as frequencies and percentages.
Results: The study was completed by all sixty randomised patients, with a mean age of 6.78 ± 0.43 years, and 51.7% were
male. The ERAS group had a significantly shorter mean hospital length of stay (5.3 ± 0.8 days) compared with the TCP
group (7.1 ± 1.1 days; p < 0.001).
Conclusion: The application of the Enhanced Recovery After Surgery (ERAS) protocol in paediatric colostomy reversal
resulted in a shorter hospital stay and earlier commencement of oral intake, without increasing postoperative complications
compared to the Traditional Care Protocol (TCP)
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Copyright (c) 2026 Salman Ali, Hamza Sohail, Tahir Shahzad Nawaz Babar, Anum Manzoor, Ismael Asif, Sayed Elyas (Author)
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