Frontiers in medicine · 2026
Bedside ultrasound-assisted manual reduction in ultrasound-selected, non-transient pediatric intussusception: a single-center experience.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Zhang Xing, Chen HongYan, Xiong Jing
Аннотация
PURPOSE: To evaluate the feasibility and safety of bedside, single-operator ultrasound-assisted manual reduction (UAMR) in ultrasound-selected, non-transient pediatric intussusception in routine clinical practice.
METHODS: We retrospectively reviewed 119 ultrasound-selected, non-transient pediatric intussusception encounters managed with bedside UAMR between March 2023 and December 2025. Encounter-level baseline characteristics and index-encounter UAMR outcomes were summarized. Because standardized segment-length measurements and post-discharge recurrence data were not uniformly available in the medical records, the analysis focused on documented clinical characteristics, repeat-attempt patterns, overall bedside success, and the absence of major documented complications.
RESULTS: Among 119 encounters, the median age was 5.0 years (IQR 3.0-6.0), and 58 (48.7%) were boys. Multiple intussusceptions, lymph node enlargement, and ascites were documented in 12 (10.1%), 60 (50.4%), and 10 (8.4%) encounters, respectively. UAMR achieved complete resolution on the first attempt in 111/119 encounters (93.3%); 6 additional encounters resolved after repeated bedside attempts (5 on the second attempt and 1 on the third), yielding an overall index-encounter success rate of 117/119 (98.3%). Two encounters remained unreduced. No perforation or bleeding was documented in the available records. The recorded check-to-report interval had a median of 13.6 min (IQR 9.1-29.2).
CONCLUSION: In this single-center series, bedside UAMR showed high index-encounter success and no documented major procedural complications among ultrasound-selected, non-transient pediatric intussusception encounters. Prospective studies with standardized eligibility criteria, stopwatch-measured manipulation time, and structured recurrence follow-up are needed before broader practice recommendations can be made.
METHODS: We retrospectively reviewed 119 ultrasound-selected, non-transient pediatric intussusception encounters managed with bedside UAMR between March 2023 and December 2025. Encounter-level baseline characteristics and index-encounter UAMR outcomes were summarized. Because standardized segment-length measurements and post-discharge recurrence data were not uniformly available in the medical records, the analysis focused on documented clinical characteristics, repeat-attempt patterns, overall bedside success, and the absence of major documented complications.
RESULTS: Among 119 encounters, the median age was 5.0 years (IQR 3.0-6.0), and 58 (48.7%) were boys. Multiple intussusceptions, lymph node enlargement, and ascites were documented in 12 (10.1%), 60 (50.4%), and 10 (8.4%) encounters, respectively. UAMR achieved complete resolution on the first attempt in 111/119 encounters (93.3%); 6 additional encounters resolved after repeated bedside attempts (5 on the second attempt and 1 on the third), yielding an overall index-encounter success rate of 117/119 (98.3%). Two encounters remained unreduced. No perforation or bleeding was documented in the available records. The recorded check-to-report interval had a median of 13.6 min (IQR 9.1-29.2).
CONCLUSION: In this single-center series, bedside UAMR showed high index-encounter success and no documented major procedural complications among ultrasound-selected, non-transient pediatric intussusception encounters. Prospective studies with standardized eligibility criteria, stopwatch-measured manipulation time, and structured recurrence follow-up are needed before broader practice recommendations can be made.