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Purpose <p>To describe the clinical profile, epidemiological characteristics, treatment outcomes, and recurrence patterns of pediatric intussusception, with emphasis on symptom variability, saline reduction success, and predictors of surgical intervention.</p> Methods <p>A retrospective observational study was conducted on children diagnosed with intussusception between July 2022 and March 2025. Data on demographics, clinical presentation, symptom duration, ultrasound findings, number of saline reduction attempts, operative details, seasonal trends, and recurrence were analyzed. Ultrasound-guided saline reduction was the primary intervention, with laparotomy reserved for failed reduction or suspected bowel compromise. Statistical analysis included descriptive measures, chi-square tests, and non-parametric comparisons.</p> Results <p>A total of 128 children were included. The highest number of cases occurred in the 12–36-month age group, with an overall male predominance. Age-related trends in clinical presentation were observed, with older infants and toddlers more frequently exhibiting classical symptoms, while children younger than three months often presented atypically. However, these observations did not consistently demonstrate statistically significant associations. Symptom duration showed no significant correlation with the number of reduction attempts or the requirement for laparotomy. Ultrasound-guided saline reduction was successful in the majority of cases. Recurrent episodes were observed more often in older children, though this trend did not reach statistical significance, and most recurrences responded to non-operative reduction. Pathological lead points were identified in two patients.</p> Conclusion <p>Pediatric intussusception exhibits recognizable age-related trends in epidemiology and clinical presentation; however, many observed patterns are descriptive rather than statistically predictive. Symptom duration alone is not a reliable determinant of reduction success or operative need. Ultrasound-guided saline reduction remains highly effective, and most recurrences can be managed non-operatively. Careful evaluation for pathological lead points remains essential, particularly in selected cases.</p>

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Clinical profile, management outcomes, and recurrence patterns of pediatric intussusception in a tertiary care center in South India

  • 期刊论文

  • 发表日期：

    2026年2月5日

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  • Aiswarya Raveendran Pillai,
  • Aswathy Ravikumar,
  • G. M. Asok Kumar

摘要

Purpose

To describe the clinical profile, epidemiological characteristics, treatment outcomes, and recurrence patterns of pediatric intussusception, with emphasis on symptom variability, saline reduction success, and predictors of surgical intervention.

Methods

A retrospective observational study was conducted on children diagnosed with intussusception between July 2022 and March 2025. Data on demographics, clinical presentation, symptom duration, ultrasound findings, number of saline reduction attempts, operative details, seasonal trends, and recurrence were analyzed. Ultrasound-guided saline reduction was the primary intervention, with laparotomy reserved for failed reduction or suspected bowel compromise. Statistical analysis included descriptive measures, chi-square tests, and non-parametric comparisons.

Results

A total of 128 children were included. The highest number of cases occurred in the 12–36-month age group, with an overall male predominance. Age-related trends in clinical presentation were observed, with older infants and toddlers more frequently exhibiting classical symptoms, while children younger than three months often presented atypically. However, these observations did not consistently demonstrate statistically significant associations. Symptom duration showed no significant correlation with the number of reduction attempts or the requirement for laparotomy. Ultrasound-guided saline reduction was successful in the majority of cases. Recurrent episodes were observed more often in older children, though this trend did not reach statistical significance, and most recurrences responded to non-operative reduction. Pathological lead points were identified in two patients.

Conclusion

Pediatric intussusception exhibits recognizable age-related trends in epidemiology and clinical presentation; however, many observed patterns are descriptive rather than statistically predictive. Symptom duration alone is not a reliable determinant of reduction success or operative need. Ultrasound-guided saline reduction remains highly effective, and most recurrences can be managed non-operatively. Careful evaluation for pathological lead points remains essential, particularly in selected cases.