Related Experiment Video

Updated: Sep 20, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.4K

Implementation of ERAS protocol in pediatric colostomy closure: a randomized clinical trial

Fatemeh Shahrahmani1, Mahdi Parvizi Mashhadi2, Alireza Khadembashi1

  • 1Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Pediatric Surgery International
|May 30, 2025
PubMed

Insights

Enhanced Recovery After Surgery (ERAS) protocols significantly shortened hospital stays and reduced narcotic use in pediatric colostomy closure. ERAS is safe and effective, without increasing complications or readmissions.

Area of Science:

  • Pediatric Surgery
  • Colorectal Surgery
  • Enhanced Recovery After Surgery (ERAS) Protocols

Background:

  • Enhanced Recovery After Surgery (ERAS) is a multimodal approach to minimize surgical stress and optimize patient recovery.
  • Its application in pediatric colorectal surgery, specifically for colostomy closure, requires further evaluation.

Purpose of the Study:

  • To evaluate the impact of ERAS protocols on pediatric patients undergoing colostomy closure.
  • To assess the effect of ERAS on length of hospital stay, oral feeding resumption, narcotic consumption, and complication rates.

Main Methods:

  • A prospective, randomized clinical trial involving 77 pediatric patients undergoing colostomy closure.
  • Patients were randomized into an ERAS group (ERASG) or a control group (CG).
  • The ERAS protocol encompassed preoperative, intraoperative, and postoperative interventions.

Main Results:

  • The ERAS group demonstrated a significantly shorter length of hospital stay (3.30 days vs. 6.43 days; p=0.002).
  • ERAS implementation led to a significant reduction in the time to resuming a regular diet and average narcotic use.
  • No significant differences were found in postoperative complications or one-month readmission rates between the groups.

Conclusions:

  • ERAS protocols are feasible and safe for pediatric colostomy closure.
  • ERAS significantly improves recovery outcomes, including reduced length of stay and narcotic consumption.
  • The findings support the broader implementation of ERAS in pediatric colorectal surgery.
Abstract

Keywords:
ColostomyERASGastrointestinal surgeryLength of hospital stayPediatric surgery

More Related Videos

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

51.5K
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

13.9K

Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
169
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
974