[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100647369":3},{"organization":4,"armGroups":7,"interventions":28,"overallOfficials":42,"centralContacts":47,"locations":57,"responsibleParty":72,"collaborators":76,"id":78,"slug":79,"hasResults":80,"nctId":81,"briefTitle":82,"officialTitle":83,"acronym":51,"eligibilityCriteria":84,"healthyVolunteers":80,"sex":85,"minAge":86,"maxAge":87,"enrollmentInfo":88,"targetDuration":51,"studyType":91,"phases":92,"briefSummary":94,"conditions":95,"keywords":98,"overallStatus":60,"whyStopped":51,"lastUpdateSubmitDate":108,"lastUpdatePostDateStruct":109,"startDateStruct":112,"completionDateStruct":114,"leadSponsor":116,"locationsCount":117},{"fullName":5,"class":6},"University of Child Health Sciences and Children's Hospital, Lahore","OTHER",[8,14,20,24],{"label":9,"type":10,"description":11,"interventionNames":12},"ERAS Feeding Protocol in Choledochal Cyst","EXPERIMENTAL","The patients with Roux-en-Y hepaticojejunostomy for choledochal cyst will be started oral liquids within 24 hours of surgery, NG Tube will be removed before starting oral feeds",[13],"Other: Enhanced Recovery After Surgery",{"label":15,"type":16,"description":17,"interventionNames":18},"Conventional Feeding Protocol in Choledochal Cyst","ACTIVE_COMPARATOR","The post operative patients of Roux-en-Y hepaticojejunostomy for choledochal cyst will be allowed oral liquids after confirmation of resumption of bowel function (Positive bowel sounds, passage of stool or flatus, clear NG aspirate)",[19],"Other: Post-operative care",{"label":21,"type":10,"description":22,"interventionNames":23},"ERAS in Biliary Atresia","Post-op patients of Roux-en-Y portoenterostomy for biliary atresia will be allowed oral liquids within 24 hours of surgery and NG tube will be removed.",[13],{"label":25,"type":16,"description":26,"interventionNames":27},"Conventional feeding protocol in Biliary Atresia","Post-op patients of portoenterostomy for biliary atresia will be allowed oral feeds only after confirmation of bowel functions (positive bowel sounds, passage of stool or flatus, clearing of NG aspirate)",[19],[29,36],{"type":6,"name":30,"description":31,"armGroupLabels":32,"otherNames":33},"Enhanced Recovery After Surgery","In ERAS feeding protocol or early oral feeding protocol, patients will be allowed oral liquids within 24 hours of surgery irrespective of confirmation of bowel functions.",[9,21],[34,35],"Fast-tract feeding protocol","Early oral feeding",{"type":6,"name":37,"description":38,"armGroupLabels":39,"otherNames":40},"Post-operative care","In conventional feeding protocol, feeds will be resumed after surgery on confirmation of bowel functions with auscultation for bowel sounds or passage of stool or flatus, usually after 48 hours",[15,25],[41],"Conventional Feeding Protocol",[43],{"name":44,"affiliation":45,"role":46},"Sundas Zahra, MBBS","University of Child Health sciences & The Children's Hospital, Lahore","PRINCIPAL_INVESTIGATOR",[48,53],{"name":44,"role":49,"phone":50,"phoneExt":51,"email":52},"CONTACT","+923400686300",null,"sundaszahra1080@gmail.com",{"name":54,"role":49,"phone":55,"phoneExt":51,"email":56},"Muhammad Zubair Shoukat, MBBS, FCPS Pediatric Surgery","03126446646","zubairshaukat@outlook.com",[58],{"facility":59,"status":60,"city":61,"state":62,"zip":63,"country":64,"countryCode":65,"cosmosGeoPoint":66,"geoPoint":71,"contacts":51},"University of Child Health Sciences, The Children's Hospital, Lahore","RECRUITING","Lahore","Punjab Province","54300","Pakistan","PK",{"type":67,"coordinates":68},"Point",[69,70],74.35071,31.558,{"lat":70,"lon":69},{"type":73,"investigatorFullName":74,"investigatorTitle":75,"investigatorAffiliation":5,"oldNameTitle":51,"oldOrganization":51},"SPONSOR_INVESTIGATOR","Muhammad Zubair Shoukat","Dr.",[77],{"name":5,"class":6},"100647369","eras-in-choledochal-cyst--biliary-atresia-100647369",false,"NCT07709702","ERAS in Choledochal Cyst & Biliary Atresia","Early Oral Feeding Versus Conventional Feeding After Surgery for Biliary Atresia and Choledochal Cyst: A Randomized Controlled Trial","Inclusion Criteria:\n\n1. All children diagnosed with choledochal cyst type I and IV on MRCP or CT scan, undergoing elective Roux-En-Y hepaticojejunostomy\n2. All children with provisional diagnosis of biliary atresia undergoing Roux-En-Y portoenterostomy\n\nExclusion Criteria:\n\n1. Patients with suspected biliary atresia not undergoing portoenterostomy after Per-op cholangiogram either due to ruling out of disease or advanced disease deemed candidates for liver transplant\n2. patients with history of Emergency surgery or external drainage of choledochal cyst\n3. Hemodynamically unstable patients after surgery\n4. Previous history of GI surgery","ALL","1 Month","14 Years",{"count":89,"type":90},100,"ESTIMATED","INTERVENTIONAL",[93],"NA","This study aims to compare two feeding approaches after surgery for biliary atresia and choledochal cyst in children.\n\nTraditionally, children are kept without oral feeding for more than 48 hours after these operations until bowel activity returns. However, newer Enhanced Recovery After Surgery (ERAS) programs suggest that starting feeding earlier may help children recover faster.\n\nIn this study, children undergoing surgery for biliary atresia or choledochal cyst will be randomly assigned to one of two groups. One group will start oral liquids within 24 hours after surgery and gradually progress to normal feeding as tolerated (early feeding group). The other group will receive conventional care, where feeding is started after more than 48 hours once bowel activity has returned.\n\nResearchers will compare both groups for postoperative complications such as wound infection and anastomotic leakage, as well as the duration of hospital stay. Additional observations will include vomiting, abdominal distension, need for reinsertion of a nasogastric tube, requirement for repeat surgery, and time taken to resume normal feeding.\n\nParticipation in the study will not affect the standard surgical treatment provided. All children will receive routine perioperative care and will be monitored closely throughout their hospital stay and follow-up visits. The findings of this study may help determine whether early oral feeding is a safe and effective strategy to improve recovery and reduce hospitalization after pediatric hepatobiliary surgery.",[96,97],"Choledochal Cyst Resection","Biliary Atresia, Kasai Portoenterostomy Status",[99,100,101,102,103,104,105,106,107],"ERAS","Choledochal Cyst","Pediatric","Children","Post-Operative Management","Biliary Atresia","Feeding Protocol","Fast-Tract Discharge","Hospital Stay","2026-07-13",{"date":110,"type":111},"2026-07-16","ACTUAL",{"date":113,"type":111},"2024-07-27",{"date":115,"type":90},"2026-08",{"name":74,"class":6},1]