{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:10:25Z","timestamp":1777893025498,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Ileocolic intussusception is a paediatric emergency requiring rapid reduction of the telescoped bowel. Often initial attempts at reduction are conservative, using gas or liquid enema. Our aim is to examine the success of pneumatic reduction over the past 17\u2009years at our centre, compare our rates of success and complication to the published literature, and evaluate the use of delayed repeat reduction attempts (DRRAs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective single centre review of all patients with attempted pneumatic reduction of ileocolic intussusception, between January 2006 and December 2023. Patient demographics, clinical history, number of initial and delayed reduction attempts, and surgical outcomes were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three hundred fourteen patients had successful reduction out of a total 375 attempted (success rate 84%). In general, the further the distal extent of the intussusceptum, the decreasing likelihood of successful pneumatic reduction (95% ascending colon; 86% hepatic flexure; 85% transverse colon; 40% splenic flexure; 50% descending colon; 35% sigmoid colon). The success also decreased with each repeat attempt in a single session, but DRRAs showed relatively increased success. Rates of bowel resection in patients transferred to theatre after initial attempts compared with DRRAs were similar (23% vs. 22%). Bowel perforation occurred in 0.8% (all during the first reduction attempt).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study supports the use of multiple attempts at the pneumatic reduction of ileocolic intussusception, with evidence that subsequent delayed repeat attempts after 4\u20136\u2009h are effective at reducing operative intervention rates without increasing the risk of bowel perforation or resection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.70098","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:44:57Z","timestamp":1777617897000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Performance Under Pressure: A Retrospective Review of the Pneumatic Reduction of Ileocolic Intussusception in a Paediatric Hospital Over 17\u2009Years"],"prefix":"10.1111","author":[{"given":"Samuel","family":"Wellman","sequence":"first","affiliation":[{"name":"Medical Imaging Department Perth Children's Hospital  Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4458-3191","authenticated-orcid":false,"given":"Mhairi","family":"Dupr\u00e9","sequence":"additional","affiliation":[{"name":"Royal Hospital for Children  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke","family":"Holmes","sequence":"additional","affiliation":[{"name":"Medical Imaging Department Perth Children's Hospital  Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0779-6641","authenticated-orcid":false,"given":"Rahul","family":"Lakshmanan","sequence":"additional","affiliation":[{"name":"Medical Imaging Department Perth Children's Hospital  Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Shipman","sequence":"additional","affiliation":[{"name":"Medical Imaging Department Perth Children's Hospital  Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Mason","sequence":"additional","affiliation":[{"name":"Medical Imaging Department Perth Children's Hospital  Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7976-3902","authenticated-orcid":false,"given":"Richard","family":"Warne","sequence":"additional","affiliation":[{"name":"Medical Imaging Department Perth Children's Hospital  Perth Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s00247-023-05798-0","article-title":"Intussusception Reduction Methods in Daily Practice\u2010a Survey by the European Society of Paediatric Radiology Abdominal Imaging Taskforce","volume":"54","author":"Meshaka R.","year":"2024","journal-title":"Pediatric Radiology"},{"issue":"11","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1111\/pan.13226","article-title":"Effects of Esketamine Sedation Compared to Morphine Analgesia on Hydrostatic Reduction of Intussusception: A Case\u2010Cohort Comparison Study","volume":"27","author":"Bunt J. 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M.Munden \u201cACR\u2013SPR Practice Parameter for the Performance of Pediatric Fluoroscopic Contrast Enema Examinations \u201d(2016) American Journal of Radioscopy [Internet] https:\/\/www.acr.org\/\u2010\/media\/ACR\/Files\/Practice\u2010Parameters\/fluourconenema\u2010ped.pdf."},{"issue":"4","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.crad.2013.10.024","article-title":"UK Intussusception Audit: A National Survey of Practice and Audit of Reduction Rates","volume":"69","author":"Hannon E.","year":"2014","journal-title":"Clinical Radiology"},{"issue":"3","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.jpedsurg.2020.09.055","article-title":"Management of Intussusception in Children: A Systematic Review","volume":"56","author":"Kelley\u2010Quon L. 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American Journal of Roentgenology"},{"issue":"2","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1097\/PEC.0000000000003117","article-title":"Pushing Backwards: Evaluating Effectiveness of Conservative Treatment of Intestinal Intussusception","volume":"40","author":"Carvalho C.","year":"2024","journal-title":"Pediatric Emergency Care"},{"key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.2147\/TCRM.S92169","article-title":"Enema Reduction of Intussusception: The Success Rate of Hydrostatic and Pneumatic Reduction","volume":"11","author":"Khorana J.","year":"2015","journal-title":"Therapeutics and Clinical Risk Management"},{"issue":"12","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"2436","DOI":"10.1007\/s00247-023-05730-6","article-title":"Ultrasound\u2010Guided Pneumatic Reduction of Intussusception in Children: 15\u2010Year Experience in a Tertiary Children's Hospital","volume":"53","author":"Vakaki M.","year":"2023","journal-title":"Pediatric Radiology"},{"issue":"5","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1016\/j.jpedsurg.2013.02.021","article-title":"Risk Factors for Surgery in Pediatric Intussusception in the Era of Pneumatic Reduction","volume":"48","author":"Fallon S. 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