Outcome of Enhanced Recovery after Surgery (ERAS) in pediatric population undergoing gastrointestinal surgery.


  • Sadaf Noureen Mayo Hospital, Lahore.
  • Muhammad Sharif Mayo Hospital, Lahore.
  • Fatima Naumeri Services Hospital, Lahore.
  • Nimra Fatima Mayo Hospital, Lahore.
  • Mahwish Noor-ul-Haq Mayo Hospital, Lahore.




Children, Enhanced Recovery after Surgery (ERAS), Gastrointestinal Surgery


Objective: To know the outcome of ERAS in pediatric population undergoing gastrointestinal surgical procedures in terms of time of bowel function recovery, postoperative intravenous nutrition time, total hospital stay and complication rate. Study Design: Randomized Controlled Trial. Setting: Department of Pediatric Surgery, Mayo Hospital, Lahore. Period: January 2022 to September 2022. Material & Methods: This study included children (n=89) who had pyloromyotomy, appendectomy, reduction of intussusception, resection of Meckel’s diverticulum and stoma closure in Surgical outcome was compared among children who underwent surgery using standard perioperative protocols (control group, n=46) and those in which ERAS protocols were followed (ERAS group, n=43). Results: In the ERAS group compared to the control group, the recovery times for bowel function (p <0.001), postoperative intravenous nutrition time (p <0.001) and postoperative hospital stay (p < 0.001) were all noticeably shorter than control group. There was no discernible intergroup variation in the complication rate. Conclusion: Our study shows that using ERAS protocols in paediatric gastrointestinal surgery results in less use of intravenous nutrition, shortened time of bowel function recovery and early discharge.

Author Biographies

Sadaf Noureen, Mayo Hospital, Lahore.

MBBS, Post- graduate Resident Pediatric Surgery, 

Muhammad Sharif, Mayo Hospital, Lahore.

MBBS, DCH, FCPS, FACS, Professor Pediatric Surgery, 

Fatima Naumeri, Services Hospital, Lahore.

MBBS, FCPS, MCPS (General Surgery), MCPSHPE, CME, Associate Professor Pediatric Surgery, 

Nimra Fatima, Mayo Hospital, Lahore.

MBBS, Post graduate Resident Thoracic Surgery, 

Mahwish Noor-ul-Haq, Mayo Hospital, Lahore.

MBBS, Post graduate Resident Pediatric Surgery,