ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025
Evaluation of critical diagnostic landmarks obtained from comparison of symptomatic small bowel intussusception relevant to surgically proven 16 pediatric cases.
Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Research progress on the association between lymphoid hyperplasia and intussusception in the terminal ileum of children.Frontiers in pediatrics · 2026Review
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4 authors.
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Abstract
backgroundThis study aims to evaluate the clinical presentation, diagnostic modalities, treatment strategies, and outcomes of pediatric small bowel intussusception (SBI), with a particular focus on surgically treated cases.
methodsRecords of children diagnosed with SBI between January 2018 and December 2023 were retrospectively reviewed. Demographics, clinical presentation, imaging findings, treatment approaches, and surgical outcomes were analyzed. Statistical comparisons were performed between operative and non-operative groups, and receiver operating characteristic (ROC) curve analysis was used to determine the optimal ultrasound threshold for predicting the need for surgery.
resultsAmong 618 patients diagnosed with intussusception, 72 (11.6%) had SBI, of which 16 (2.6%) required surgery. Operative patients were significantly older (median: 75 months) than those managed non-operatively (median: 32 months) (p<0.05). Vomiting was significantly more common in the operative group (100% vs. 44.6%, p<0.001). The mean ultrasonographic length of the intussuscepted segment was significantly greater in the operative group (5.7+-1.33 cm) than in the non-operative group (3.27+-1.18 cm) (p<0.001). A cut-off value of 4.0 cm was identified as predictive for surgical intervention, with 100% sensitivity and 73.1% specificity. Pathologic lead points were found in 87.5% of surgical cases, although none were identified preoperatively. Hydrostatic reduction was successful in 62.5% of non-operative patients.
conclusionThis study emphasizes that older age, longer intussuscepted segment on ultrasound, and severe symptoms are predictive of surgical need in pediatric SBI. A 4.0 cm cutoff aids decision-making, while the limited detection of pathologic lead points (PLP) underscores the importance of clinical evaluation.
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