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. 2024 Feb 19:15:87-94.
doi: 10.2147/PHMT.S451832. eCollection 2024.

Predictors of Failure in Ultrasound-Guided Hydrostatic Reduction of Intussusception in Children: Retrospective Analysis in a Specialized Center in Ethiopia

Belachew Dejene Wondemagegnehu  1 , Ephrem Nidaw Kerego  2 , Tihtina Negussie Mammo  1 , Amezene Tadesse Robele  1 , Fisseha Temesgen Gebru  1 , Woubedel Kiflu Aklilu  1
Affiliations

Predictors of Failure in Ultrasound-Guided Hydrostatic Reduction of Intussusception in Children: Retrospective Analysis in a Specialized Center in Ethiopia

Belachew Dejene Wondemagegnehu et al. Pediatric Health Med Ther. .

Abstract

Purpose: To identify factors predicting the failure of ultrasound-guided hydrostatic reduction of intussusception in children.

Patients and methods: The medical records of 174 children who underwent ultrasound-guided hydrostatic reduction of intussusception over four years were reviewed at Tikur Anbessa Specialized Hospital. Patient's demography, clinical data, and sonography findings (type of intussusception, length of intussusception, presence of lead point, trapped fluid, lymph node, and free peritoneal fluid) were entered into SPSS 25 (IBM) and analyzed using logistic regression.

Results: The overall success rate of ultrasound-guided hydrostatic reduction was 81.6%. The sex, presence of abdominal cramps, vomiting, diarrhea, trapped lymph nodes on ultrasound, or history of upper respiratory tract infection had no association with hydrostatic reducibility. Currant jelly stool (OR 0.128; 95% CI, 0.27-0.616; P=0.01), Ileo-ileo colic intussusception (OR 0.055; 95% CI, 0.005-0.597; P=0.017), pathologic lead point (OR 0.66; 95% CI, 0.01-0.447; P=0.005) and abdominal distention (OR 0.209; 95% CI, 0.044-0.998; P=0.048) showed significant association with failed hydrostatic reduction.

Conclusion: The presence of currant jelly stool, ileo-ileo colic type intussusception, pathologic lead point, and abdominal distention are the most important predictors for failed ultrasound ultrasound-guided reduction intussusception in children.

Keywords: idiopathic intussusception; pediatric intestinal obstruction; pediatric ultrasound; saline enema.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any conflicts of interest.

Figures

Figure 1
Figure 1
The success rate of each attempt in Ultrasound-guided hydrostatic reduction of intussusception in children.
See this image and copyright information in PMC

References

    1. Columbari PM. Intussusception. In: Coran AG, editor. Pediatric Surgery. 7th ed. Elsevier; 2012:1093–1110.
    1. Wright JE, Slater S. Suspected intussusception: is ultrasound a reliable diagnostic aid? The Australian and. New Zealand J Surg. 1996;66(10):686–687. doi:10.1111/j.1445-2197.1996.tb00718.x - DOI - PubMed
    1. Amuddhu SK, Chen Y, Nah SA. Inpatient admission versus emergency department management of intussusception in children: a systemic review and meta-analysis of outcomes. Eur J Pediatr Surg. 2019;29(1):7–13. doi:10.1055/s-0038-1668145 - DOI - PubMed
    1. Eisapour A, Mehrayin R, Esmaeili-Dooki M. The effect of midazolam on decreasing the duration of intussusception hydrostatic reduction in children. Med Arch. 2015;69(5):289–292. doi:10.5455/medarh.2015.69.289-292 - DOI - PMC - PubMed
    1. Gal M, Gamsu S, Jacob R, Cohen D, Shavit M. Reduction of ileocolic intussusception under sedation or anesthesia: a systematic review of complications. Arch Dischildhood. 2022;107(4):335–340. doi:10.1136/archdischild-2021-322706 - DOI - PubMed