{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T17:26:05Z","timestamp":1761153965285,"version":"3.37.3"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Recurrence of ileocolic intussusception (ICI) has been related to residual bowel wall edema after enema reduction. Early oral tolerance has been associated with a higher risk of re-intussusception, so an imaging test (ultrasound) has traditionally been performed before restarting oral tolerance. Our aim is to analyze the cost-effectiveness of performing a routine ultrasound in patients who remain asymptomatic after successful enema reduction.<\/jats:p><jats:p>\n          Materials and Methods\u2003A retrospective observational study was performed in patients with ICI who underwent a successful enema reduction between 2005 and 2019 and distributed in two groups according to whether or not a routine ultrasound was performed before restarting oral tolerance: group A (ultrasound) or B (no ultrasound). We analyzed demographic, clinical and laboratory variables, length of hospital stay, and recurrence rate.<\/jats:p><jats:p>\n          Results\u2003We included 366 patients who presented 373 ICI episodes (165 in group A and 208 in group B), without significant differences in gender and age. Group A patients presented a higher percentage of vomiting and bloody stools than those in group B without differences in the other clinical features studied, time of evolution, or laboratory variables. Group A presented a higher length of hospital stay than group B (36 vs. 24\u2009hours), although it was not statistically significant (p\u2009=\u20090.30). No statistically significant differences were observed in the recurrence rate between both groups (10.3% A vs. 10.8% B; p\u2009=\u20090.83).<\/jats:p><jats:p>\n          Conclusion\u2003Performing routine ultrasound before restarting oral tolerance in asymptomatic patients after successful ICI reduction does not decrease the risk of re-intussusception and should not be routinely encouraged.<\/jats:p>","DOI":"10.1055\/s-0040-1719055","type":"journal-article","created":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T23:58:54Z","timestamp":1605311934000},"page":"115-119","source":"Crossref","is-referenced-by-count":4,"title":["Routine Ultrasound Control after Successful Intussusception Reduction in Children: Is It Really Necessary?"],"prefix":"10.1055","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4994-6898","authenticated-orcid":false,"given":"Carlos","family":"Delgado-Miguel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, 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