Skip to main content
Top
Published in: Pediatric Radiology 4/2024

22-11-2023 | Pediatric Radiology | ESPR Belgrade 2023 - Postgraduate Course and Taskforce Lectures

Intussusception reduction methods in daily practice—a survey by the European Society of Paediatric Radiology Abdominal Imaging Taskforce

Authors: Riwa Meshaka, Lil-Sofie Ording Müller, Samuel Stafrace, Stéphanie Franchi Abella, Carmelo Sofia, Alistair Calder, Philippe Petit, Giulia Perucca

Published in: Pediatric Radiology | Issue 4/2024

Login to get access

Abstract

Background

Image-guided intussusception reduction has been practised internationally for many decades. The use of different modalities, delayed repeat attempts, and sedation/anaesthesia are unknown.

Objective

To survey the practice of image-guided intussusception reduction.

Materials and methods

A 20-point questionnaire created by the European Society of Paediatric Radiology (ESPR) Abdominal Imaging Taskforce was distributed via the ESPR members’ mailing list and shared on social media between 28 March and 1 May 2023.

Results

There were 69 responses from 65 worldwide institutions, with a mean of 18 intussusception reductions performed per year: 55/69 (80%) from 52 European institutions and 14/69 (20%) from 13 institutions outside of Europe. European centres reported using 19/52 (37%) fluoroscopy, 18/52 (35%) ultrasound, and 15/52 (28%) a mixture of both, with 30/52 (58%) offering a delayed repeat at 15 min to 24 h. Non-European centres reported using 5/13 (39%) fluoroscopy, 6/13 ultrasound (46%), and 2/13 (15%) a mixture of both, with 9/13 (69%) offering a delayed repeat attempt. Sedation or analgesia was used in 35/52 (67%) of European and 2/13 (15%) non-European institutions.

Conclusion

There is wide variation in how image-guided intussusception reduction is performed, and in the use of sedation/anaesthesia.
Literature
1.
go back to reference Bekdash B, Merven S, Sprigg A (2013) Reduction of intussusception: defining a better index of successful non-operative treatment. Pediatr Radiol 43:649–656CrossRefPubMed Bekdash B, Merven S, Sprigg A (2013) Reduction of intussusception: defining a better index of successful non-operative treatment. Pediatr Radiol 43:649–656CrossRefPubMed
2.
go back to reference Sadigh G, Zou K, Razavi S et al (2015) Meta-analysis of air versus liquid enema for intussusception reduction in children. AJR Am J Roentgenol 205:W542-549CrossRefPubMed Sadigh G, Zou K, Razavi S et al (2015) Meta-analysis of air versus liquid enema for intussusception reduction in children. AJR Am J Roentgenol 205:W542-549CrossRefPubMed
3.
go back to reference Rosenfeld K, McHugh K (1999) Survey of intussusception reduction in England, Scotland and Wales: how and why we could do better. Clin Radiol 54:452–458CrossRefPubMed Rosenfeld K, McHugh K (1999) Survey of intussusception reduction in England, Scotland and Wales: how and why we could do better. Clin Radiol 54:452–458CrossRefPubMed
4.
go back to reference Fiegel H, Gfroerer S, Rolle U (2016) Systematic review shows that pathological lead points are important and frequent in intussusception and are not limited to infants. Acta Paediatr 105:1275–1279CrossRefPubMed Fiegel H, Gfroerer S, Rolle U (2016) Systematic review shows that pathological lead points are important and frequent in intussusception and are not limited to infants. Acta Paediatr 105:1275–1279CrossRefPubMed
5.
go back to reference Chew R, Ditchfield M, Paul E, Goergen S (2017) Comparison of safety and efficacy of image-guided enema reduction techniques for paediatric intussusception: a review of the literature. J Med Imaging Radiat Oncol 61:711–717CrossRefPubMed Chew R, Ditchfield M, Paul E, Goergen S (2017) Comparison of safety and efficacy of image-guided enema reduction techniques for paediatric intussusception: a review of the literature. J Med Imaging Radiat Oncol 61:711–717CrossRefPubMed
6.
go back to reference Plut D, Phillips G, Johnston P, Lee E (2020) Practical imaging strategies for intussusception in children. AJR Am J Roentgenol 215:1449–1463CrossRefPubMed Plut D, Phillips G, Johnston P, Lee E (2020) Practical imaging strategies for intussusception in children. AJR Am J Roentgenol 215:1449–1463CrossRefPubMed
7.
go back to reference Sanchez T, Doskocil B, Stein-Wexler R (2015) Nonsurgical management of childhood intussusception: retrospective comparison between sonographic and fluoroscopic guidance. J Ultrasound Med 34:59–63CrossRefPubMed Sanchez T, Doskocil B, Stein-Wexler R (2015) Nonsurgical management of childhood intussusception: retrospective comparison between sonographic and fluoroscopic guidance. J Ultrasound Med 34:59–63CrossRefPubMed
9.
go back to reference Gu L, Alton D, Daneman A et al (1988) Intussusception reduction in children by rectal insufflation of air. AJR Am J Roentgenol 150:1345–1348CrossRefPubMed Gu L, Alton D, Daneman A et al (1988) Intussusception reduction in children by rectal insufflation of air. AJR Am J Roentgenol 150:1345–1348CrossRefPubMed
10.
go back to reference Yoon S, Han C, Eun S (2022) Impact of the COVID-19 pandemic on the incidence of intussusception: a systematic review. Eur Rev Med Pharmacol Sci 26:9040–9049PubMed Yoon S, Han C, Eun S (2022) Impact of the COVID-19 pandemic on the incidence of intussusception: a systematic review. Eur Rev Med Pharmacol Sci 26:9040–9049PubMed
11.
go back to reference Xie X, Wu Y, Wang Q et al (2018) A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients. J Pediatr Surg 53:1464–1468CrossRefPubMed Xie X, Wu Y, Wang Q et al (2018) A randomized trial of pneumatic reduction versus hydrostatic reduction for intussusception in pediatric patients. J Pediatr Surg 53:1464–1468CrossRefPubMed
12.
go back to reference Schmit P, Rohrschneider W, Christmann D (1999) Intestinal intussusception survey about diagnostic and nonsurgical therapeutic procedures. Pediatr Radiol 29:752–761CrossRefPubMed Schmit P, Rohrschneider W, Christmann D (1999) Intestinal intussusception survey about diagnostic and nonsurgical therapeutic procedures. Pediatr Radiol 29:752–761CrossRefPubMed
13.
go back to reference Stein-Wexler R, O’Connor R, Daldrup-Link H, Wootton-Gorges S (2015) Current methods for reducing intussusception: survey results. Pediatr Radiol 45:667–674CrossRefPubMed Stein-Wexler R, O’Connor R, Daldrup-Link H, Wootton-Gorges S (2015) Current methods for reducing intussusception: survey results. Pediatr Radiol 45:667–674CrossRefPubMed
14.
go back to reference Nguyen H, Sammer M, Ditzler M et al (2021) Transition to ultrasound as the first-line imaging modality for midgut volvulus: keys to a successful roll-out. Pediatr Radiol 51:506–515CrossRefPubMedPubMedCentral Nguyen H, Sammer M, Ditzler M et al (2021) Transition to ultrasound as the first-line imaging modality for midgut volvulus: keys to a successful roll-out. Pediatr Radiol 51:506–515CrossRefPubMedPubMedCentral
15.
go back to reference Riccabona M (2012) Application of a second-generation US contrast agent in infants and children-a European questionnaire-based survey. Pediatr Radiol 42:1471–1480CrossRefPubMed Riccabona M (2012) Application of a second-generation US contrast agent in infants and children-a European questionnaire-based survey. Pediatr Radiol 42:1471–1480CrossRefPubMed
16.
go back to reference Ellison J, Maxfield C, Wiener J (2009) Voiding cystography practices and preferences of North American pediatric urologists. J Urol 182:299–304CrossRefPubMed Ellison J, Maxfield C, Wiener J (2009) Voiding cystography practices and preferences of North American pediatric urologists. J Urol 182:299–304CrossRefPubMed
17.
go back to reference Navarro O, Daneman A, Chae A (2004) Intussusception: the use of delayed, repeated reduction attempts and the management of intussusceptions due to pathologic lead points in pediatric patients. AJR Am J Roentgenol 182:1169–1176CrossRefPubMed Navarro O, Daneman A, Chae A (2004) Intussusception: the use of delayed, repeated reduction attempts and the management of intussusceptions due to pathologic lead points in pediatric patients. AJR Am J Roentgenol 182:1169–1176CrossRefPubMed
18.
go back to reference van de Bunt J, Veldhoen E, Nievelstein R et al (2017) Effects of esketamine sedation compared to morphine analgesia on hydrostatic reduction of intussusception: a case-cohort comparison study. Paediatr Anaesth 27:1091–1097CrossRefPubMed van de Bunt J, Veldhoen E, Nievelstein R et al (2017) Effects of esketamine sedation compared to morphine analgesia on hydrostatic reduction of intussusception: a case-cohort comparison study. Paediatr Anaesth 27:1091–1097CrossRefPubMed
19.
go back to reference Giacalone M, Pierantoni L, Selvi V et al (2022) Midazolam premedication in ileocolic intussusception: a retrospective multicenter study. Eur J Pediatr 181:3531–3536CrossRefPubMed Giacalone M, Pierantoni L, Selvi V et al (2022) Midazolam premedication in ileocolic intussusception: a retrospective multicenter study. Eur J Pediatr 181:3531–3536CrossRefPubMed
20.
go back to reference Teoh K, Palmer G, Teague W et al (2021) Periprocedural analgesia and sedation in air enema reduction for intussusception: a retrospective Australian cohort study. J Paediatr Child Health 57:103–108CrossRef Teoh K, Palmer G, Teague W et al (2021) Periprocedural analgesia and sedation in air enema reduction for intussusception: a retrospective Australian cohort study. J Paediatr Child Health 57:103–108CrossRef
21.
go back to reference Feldman O, Weiser G, Hanna M et al (2017) Success rate of pneumatic reduction of intussusception with and without sedation. Paediatr Anaesth 27:190–195CrossRefPubMed Feldman O, Weiser G, Hanna M et al (2017) Success rate of pneumatic reduction of intussusception with and without sedation. Paediatr Anaesth 27:190–195CrossRefPubMed
22.
go back to reference Khorana J, Tepjuk S, Singhavejsakul J et al (2023) A comparison of the success rate of pneumatic reduction in intussusception between general anesthesia and deep sedation: a randomized controlled trial. Pediatr Surg Int 39:186CrossRefPubMed Khorana J, Tepjuk S, Singhavejsakul J et al (2023) A comparison of the success rate of pneumatic reduction in intussusception between general anesthesia and deep sedation: a randomized controlled trial. Pediatr Surg Int 39:186CrossRefPubMed
Metadata
Title
Intussusception reduction methods in daily practice—a survey by the European Society of Paediatric Radiology Abdominal Imaging Taskforce
Authors
Riwa Meshaka
Lil-Sofie Ording Müller
Samuel Stafrace
Stéphanie Franchi Abella
Carmelo Sofia
Alistair Calder
Philippe Petit
Giulia Perucca
Publication date
22-11-2023
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 4/2024
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-023-05798-0

Other articles of this Issue 4/2024

Pediatric Radiology 4/2024 Go to the issue