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04.09.2023 | Original Article

Ultrasound-guided pneumatic reduction of intussusception in children: 15-year experience in a tertiary children’s hospital

verfasst von: Marina Vakaki, Rodanthi Sfakiotaki, Sergia Liasi, Anna Hountala, Eleni Koutrouveli, Irene Vraka, Christina Zouridaki, Chrysoula Koumanidou

Erschienen in: Pediatric Radiology | Ausgabe 12/2023

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Abstract

Background

International practice regarding the method used to nonoperatively reduce pediatric intussusception is variable.

Objective

To provide an overview of ultrasound-guided pneumatic intussusception reduction and assess its safety and effectiveness.

Materials and methods

A single-center prospective study was conducted in a tertiary referral pediatric hospital during the 15-year period between January 2008 and February 2023. All patients with ileocolic intussusception underwent abdominal sonographic examination for diagnosis. An ultrasound-guided pneumatic reduction of intussusception was then attempted. Children who were hemodynamically unstable, with signs of peritonitis or bowel perforation and those with sonographically detected pathologic lead points were excluded.

Results

A total of 131 children (age range 2 months to 6 years) were enrolled in this study. Pneumatic intussusception reduction was successful in 128 patients (overall success rate 97.7%). In 117 patients, the intussusception was reduced on the first attempt and in the remaining on the second. In three cases, after three consecutive attempts, the intussusception was only partially reduced. As subsequently surgically proven, two of them were idiopathic and the third was secondary to an ileal polyp. No bowel perforation occurred during the reduction attempts. There was recurrence of intussusception in three patients within 24 h after initial reduction which were again reduced by the same method.

Conclusion

Ultrasound-guided pneumatic intussusception reduction is a well-tolerated, simple, safe and effective technique with a high success rate, no complications and no ionizing radiation exposure. It may be adopted as the first-line nonsurgical treatment of pediatric intussusception.

Graphical Abstract

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Titel: Ultrasound-guided pneumatic reduction of intussusception in children: 15-year experience in a tertiary children’s hospital
verfasst von: Marina Vakaki
Rodanthi Sfakiotaki
Sergia Liasi
Anna Hountala
Eleni Koutrouveli
Irene Vraka
Christina Zouridaki
Chrysoula Koumanidou
Publikationsdatum: 04.09.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Radiology / Ausgabe 12/2023
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-023-05730-6

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Ultrasound-guided pneumatic reduction of intussusception in children: 15-year experience in a tertiary children’s hospital