ArticleBMC pediatrics2025
Predicting bowel necrosis in pediatric acute intussusception using roundness and other related factors.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Biomarker-Based Prediction of Treatment Outcomes in Pediatric Intussusception: A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2026Article
- Bacterial Etiology and Antimicrobial Susceptibility Patterns in Pediatric Intra-Abdominal Infections-Implications for Empirical Treatment and Antimicrobial Stewardship.Pharmaceuticals (Basel, Switzerland) · 2026Article
- A vision transformer deep learning model for assessing pediatric ileocolic intussusception severity using ultrasound images.NPJ digital medicine · 2026Article
- Predictive and Prognostic Biomarkers in Pediatric Intussusception-A Systematic Review.Journal of clinical medicine · 2026Review
- Repeated ultrasound-guided hydrostatic reduction for pediatric intussusception: attempt number, interval, and success.European journal of medical research · 2025Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to investigate the risk factors of intestinal necrosis in children with intussusception and intestinal necrosis was established.
methodsThe clinical data of children diagnosed with intestinal necrosis after surgical treatment in our hospital were retrospectively analyzed and assigned to the bowel necrosis group.A control group was established treated successfully with air enema, without bowel necrosis, during the same period. Ultrasonic manifestation and clinical features were recorded and analyzed. Factors associated with bowel necrosis were analyzed using univariate and multivariate unconditional logistic regression analyses.
results(1) The bowel necrosis group included a higher proportion of children under 12 months of age, and had more cases with blood flow signal < grade 4, peritoneal effusion, and bloody stools (P < 0.05) than the non-intestinal necrosis group. The values for roundness, concentric ring thickness, length of the intussuscepted segment, head-to-neck diameter ratio, bowel wall thickness, and neutrophil-to-lymphocyte ratio ( NLR) were all higher in the bowel necrosis group (P < 0.05). (2) The logistic regression analysis indicated that roundness (×100) [odds ratio (OR) = 1.397, 95% confidence interval (CI): 1.086-1.796] and blood flow signal (< grade 4) (OR = 0.099, 95% CI: 0.018-0.543) were independent predictors of bowel necrosis in intussusception.
conclusionsRoundness and blood flow signal grading are independent predictors for diagnosing bowel necrosis in pediatric intussusception.
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