Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali Ҷилди 10 № 2 (2025)
COMPARISON OF ULTRASOUND-GUIDED HYDROSTATIC REDUCTION OF INTUSSUSCEPTION RESULTS BETWEEN PEDIATRIC AND NON-PEDIATRIC RADIOLOGISTS AND RESIDENTS
МАНСУРОВ ДЖАЛОЛИДИН ШАМСИДИНОВИЧ
Аннотатсия
Ileocolic intussusception is the most common cause of intestinal obstruction in children under two years of age. In most cases, treatment involves radiologically guided reduction. In Slovenia, the standard treatment is ultrasound-guided hydrostatic reduction. The aim of this study was to compare the success rates of ultrasound-guided hydrostatic reduction performed by subspecialized pediatric radiologists, non-pediatric radiologists, and radiology residents. We retrospectively analyzed the medical records of patients with ileocolic intussusception who underwent ultrasound-guided hydrostatic reduction at the University Medical Centre Ljubljana from January 2012 to December 2022 (n = 101). During regular working hours, pediatric radiologists performed the reduction, while during off-hours (evenings and nights), the procedure was performed by pediatric radiologists, non-pediatric radiologists, or residents. Patients were divided into three groups based on the operator who performed the procedure. Data were analyzed using the chi-square test. Pediatric radiologists achieved 37 (75.5%) successful first attempts, non-pediatric radiologists 19 (76.0%), and residents 20 (74.1%). No statistically significant differences in the success rates of ileocolic intussusception reduction were found between the operator groups (p = 0.98). No perforations occurred during the reduction attempts in any of the groups. Our results demonstrate that ultrasound-guided hydrostatic reduction is a reliable and safe procedure, yielding good outcomes even in the hands of less experienced but adequately trained radiologists. These findings should encourage more medical centers to consider implementing ultrasound-guided hydrostatic reduction for ileocolic intussusception.
Ileokolik invaginatsiya, Invaginatsiya, Klizma, Ultratovush tekshiruvi, Pediatrik radiologiyaIleocolic intussusception, Intussusception, Enema, Ultrasound, Pediatric radiologyIleokolik invaginatsiya, Invaginatsiya, Klizma, Ultratovush tekshiruvi, Pediatrik radiologiya
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