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Ultrasound-guided hydrostatic reduction of intussusception : comparison of success rates between subspecialized pediatric radiologists and non-pediatric radiologists or radiology residents
ID
Pušnik, Luka
(
Avtor
),
ID
Slak, Peter
(
Avtor
),
ID
Nikšić, Stevan
(
Avtor
),
ID
Winant, Abbey J.
(
Avtor
),
ID
Lee, Edward Y.
(
Avtor
),
ID
Plut, Domen
(
Avtor
)
PDF - Predstavitvena datoteka,
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(943,05 KB)
MD5: A3A2F8E4EC3929F871CF2F9D11A7C075
URL - Izvorni URL, za dostop obiščite
https://link.springer.com/article/10.1007/s00431-023-04987-1
Galerija slik
Izvleček
Ileocolic intussusception is the most common cause of intestinal obstruction in children under two years of age. Treatment in most cases is radiologically guided reduction. In Slovenia, ultrasound (US)-guided hydrostatic reduction is currently the standard of care. The purpose of this study was to compare the success rate of US-guided hydrostatic reduction when performed by subspecialty-trained pediatric radiologists, non-pediatric radiologists, or radiology residents. We retrospectively analyzed medical records of patients with ileocolic intussusception who underwent US-guided hydrostatic intussusception reduction at University Medical Centre Ljubljana between January 2012 and December 2022 (n = 101). During regular daily working hours, the reduction was performed by pediatric radiologists. After hours (evenings and overnight), pediatric radiologists, non-pediatric radiologists, or radiology residents performed the reduction procedure. Patients were divided into three groups based on the operator performing the procedure. Data was analyzed using the chi-square test. Pediatric radiologists had thirty-seven (75.5%) successful first attempts, non-pediatric radiologists had nineteen (76.0%), and radiology residents had twenty (74.1%). There was no statistically significant difference in the success rate of ileocolic intussusception reduction depending on the operator who performed the procedure (p = 0.98). No perforation was observed in either group during the reduction attempts. Conclusion: Our results demonstrate that US-guided hydrostatic reduction is a reliable and safe procedure that achieves good results even in the hands of less experienced, however appropriately trained, radiologists. The results should encourage more medical centers to consider the implementation of US-guided hydrostatic reduction of ileocolic intussusception.
Jezik:
Angleški jezik
Ključne besede:
ileocolic intussusception
,
invagination
,
enema
,
ultrasonography
,
pediatric radiology
Vrsta gradiva:
Članek v reviji
Tipologija:
1.01 - Izvirni znanstveni članek
Organizacija:
MF - Medicinska fakulteta
Status publikacije:
Objavljeno
Različica publikacije:
Objavljena publikacija
Leto izida:
2023
Št. strani:
Str. 3257-3264
Številčenje:
Vol. 182, iss. 7
PID:
20.500.12556/RUL-151962
UDK:
616-053.2:615.8
ISSN pri članku:
0340-6199
DOI:
10.1007/s00431-023-04987-1
COBISS.SI-ID:
162208003
Datum objave v RUL:
26.10.2023
Število ogledov:
667
Število prenosov:
38
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Objavi na:
Gradivo je del revije
Naslov:
European journal of pediatrics
Skrajšan naslov:
Eur. j. pediatr.
Založnik:
Springer Nature
ISSN:
0340-6199
COBISS.SI-ID:
6044167
Licence
Licenca:
CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
Povezava:
http://creativecommons.org/licenses/by/4.0/deed.sl
Opis:
To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.
Sekundarni jezik
Jezik:
Slovenski jezik
Ključne besede:
ileokolična invaginacija
,
invaginacija
,
klistir
,
ultrazvok
,
pediatrična radiologija
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