ArticleEmergency radiology2026
A decade after introduction: survey of training and expansion of ultrasound-guided hydrostatic reduction of intussusception in Ethiopia.
Article in Emergency radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundUltrasound-guided hydrostatic reduction is an effective non-operative treatment for pediatric intussusception, yet its adoption in low-resource settings remains variable. In Ethiopia, ultrasound-guided hydrostatic reduction of intussusception was introduced in 2014 through a collaborative effort with an international outreach program in pediatric radiology.
objectiveOur aim is to assess the trends in training, implementation, and sustained practice of ultrasound-guided hydrostatic reduction of intussusception among Ethiopian radiology graduates and the facilities represented in this survey. MATERIALS AND
methodsA survey was conducted targeting all radiology graduates in Ethiopia from 2015 to 2024 (N = 365), representing the entire decade following the introduction of the procedure in the country. The questionnaire assessed multiple aspects of practice: exposure during residency, post-graduation practice, current institutional availability, personal confidence, and perspectives regarding its effectiveness.
resultsWe received 184 responses (50.4% response rate); 178 respondents from 75 different facilities provided complete data. Most respondents (150, 84.3%) had training during residency, and 87 (48.9%) reported performing the procedure in their current clinical practice. Of the 75 facilities represented, ultrasound-guided hydrostatic reduction was available in 46, yielding an institutional adoption rate of 61.3%. Confidence was high, with 133 (74.7%) graduates expressing readiness to independently perform the procedure. Graduates practicing outside Ethiopia reported introducing ultrasound-guided hydrostatic reduction in institutions across six African countries (Angola, Lesotho, Liberia, Namibia, Tanzania, and Somalia) highlighting potential cross-border dissemination of training.
conclusionA decade after its introduction, ultrasound-guided reduction of intussusception has become widely taught and increasingly practiced among Ethiopian radiologists. Our findings highlight the impact of radiology educational initiatives and international collaborations.
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