{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T19:46:52Z","timestamp":1785527212036,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,12,25]],"date-time":"2021-12-25T00:00:00Z","timestamp":1640390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100016077","name":"Dongguan Science and Technology Bureau","doi-asserted-by":"publisher","award":["201950715028639"],"award-info":[{"award-number":["201950715028639"]}],"id":[{"id":"10.13039\/501100016077","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Ultrasound\u2010guided saline enema is highly successful in treating pediatric intussusception; however, early recurrence\u2014within 48\u2009hours\u2014is possible. This study aimed to explore effective methods of reducing early recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included patients aged 0 to 14\u2009years diagnosed with ileocolic intussusception with a symptom duration of &lt;48\u2009hours from January 2019 to March 2021. The patients were divided into control and intervention groups. All patients received successful treatment with ultrasound\u2010guided saline enema; however, in patients treated before January 4, 2020 (control group), the intestinal fluid was drained immediately, and in patients treated after January 4, 2020 (intervention group), the intestinal fluid was drained after 15\u2009minutes of intestinal pressure maintenance. Early recurrence rates of the groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ileocolic intussusception was treated successfully by ultrasound\u2010guided saline enema in 231 patients (116, control group;115, intervention group). The early recurrence rate in the intervention group (10%; 95% CI: 4.9\u201316.5) was numerically lower than that in the control group (19%; 95% CI: 12.3\u201327.3). No significant difference was observed in the number of recurrences per person between the groups (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.448). Patients without early recurrence were older (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.004) and received enemas of a shorter duration (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) and lower pressure (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) than patients without early recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Maintaining reduction pressure for 15\u2009minutes after a successful ultrasound\u2010guided saline enema may reduce the early recurrence of intussusception. A randomized controlled trial is needed because the intervention and control cohorts were most probably incomparable (due to the COVID\u201019 pandemic).<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15933","type":"journal-article","created":{"date-parts":[[2021,12,25]],"date-time":"2021-12-25T08:04:30Z","timestamp":1640419470000},"page":"2467-2473","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Technique to Reduce the Early Recurrence of Intussusception in Ultrasound\u2010Guided Hydrostatic Reduction"],"prefix":"10.1002","volume":"41","author":[{"given":"Feng","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Ultrasound Diagnostics Dongguan Eighth People's Hospital  Dongguan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huanhua","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics Dongguan Eighth People's Hospital  Dongguan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqing","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics Dongguan Eighth People's Hospital  Dongguan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weihao","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics Dongguan Eighth People's Hospital  Dongguan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuanglan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics Dongguan Eighth People's Hospital  Dongguan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiguang","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Dongguan Eighth People's Hospital  Dongguan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4657-8337","authenticated-orcid":false,"given":"Min","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics, The Affiliated Changsha Central Hospital, Hengyang Medical School University of South China  Changsha Hunan 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