Determinants of ultrasound-guided reduction failure and pathological lead points in pediatric intussusception.

ABSTRACT:

Purpose

Intussusception is a leading cause of acute intestinal obstruction in children. Ultrasound-guided hydrostatic saline enema (USGSE) is widely accepted as first-line non-surgical management, but predictors of reduction failure and pathological lead points (PLPs) are not well defined.

Methods

We retrospectively reviewed pediatric patients (< 18 years) with ileocolic intussusception treated between 2012 and 2022. Clinical variables included symptom duration, vomiting, bloody stools, and age. Univariable and multivariable logistic regression analyses were used to identify predictors of failed USGSE and PLPs.

Results

Eighty-nine patients (93 episodes) were analyzed; 97.85% underwent USGSE as initial treatment. Overall reduction success was 76.92% (70/91) and 90.28%

SUBMITTER: Braun Y 

PROVIDER: S-EPMC12909316 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature