Efficacy and safety of an abbreviated perioperative care bundle versus standard perioperative care in children undergoing elective bowel anastomoses: A randomized, noninferiority trial

Randomized noninferiority trial (n=74) comparing an abbreviated perioperative care bundle to standard care in children undergoing elective bowel anastomoses. The abbreviated protocol—featuring same-day admission, no mechanical bowel prep, optimized antibiotics, and early feeding—demonstrated equivalent safety with improved efficacy outcomes including faster feeding tolerance.