{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T13:06:05Z","timestamp":1767791165255,"version":"3.49.0"},"reference-count":10,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"unspecified","delay-in-days":46,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["World Jnl Ped Surgery"],"accepted":{"date-parts":[[2025,8,24]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"\n Introduction<\/jats:title>\n The necessity for procedural sedation during hydrostatic reduction for ileocolic intussusception in children is being debated. This study aimed to compare outcomes of procedures with and without sedation, as well as parental preferences.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This retrospective study (2019\u20132021) reviewed the medical records of children treated for ileocolic intussusception at two hospitals\u2014one that did not provide sedation (non-sedation, NS) and one that did (with-sedation, WS) during hydrostatic reduction. The primary outcomes encompassed success rate, perforation, and recurrence. Parental satisfaction was assessed using a 5-point Likert scale questionnaire.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Data from 65 children were included: 42 in the NS group and 23 in the WS group. The hydrostatic reduction success rates were 79% (NS) and 74% (WS) (\n p<\/jats:italic>\n =0.670). One colon perforation occurred in each group (\n p<\/jats:italic>\n =0.661). Recurrence rates were 14.3% (NS) and 17.4% (WS) (\n p<\/jats:italic>\n =0.740). The questionnaire response rates were 48% (NS) and 57% (WS). Of the NS parents, 75% (15\/20) were (very) satisfied with the procedure, compared with 85% (11\/13) of WS parents (\n p<\/jats:italic>\n =0.196). Ten (50%) NS parents would have preferred sedation, while 46% (6\/13) of WS parents would have preferred to be present during the procedure.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n There were no significant differences in success rates, complications, or parental satisfaction between procedures performed with or without sedation during hydrostatic reduction. Effective pain management and a comforting approach are crucial for stress reduction. Shared decision-making with parents regarding the pros and cons of sedation is recommended.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/wjps-2025-001072","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T05:20:17Z","timestamp":1758086417000},"page":"e001072","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Is sedation necessary for hydrostatic reduction in ileocolic intussusception? Evaluating procedural outcomes and parents\u2019 preferences"],"prefix":"10.1136","volume":"8","author":[{"given":"Angelique","family":"Berthelot","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nora","family":"Larbi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelius","family":"Sloots","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanko","family":"de Graaf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marieke","family":"Witvliet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2498-8773","authenticated-orcid":false,"given":"Claudia","family":"Keyzer-Dekker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"2026010700402247000_8.4.e001072.1","article-title":"Management for intussusception in children","volume":"6","author":"Gluckman","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2026010700402247000_8.4.e001072.2","unstructured":"Puri P , H\u00f6llwarth M , Lumley JSP , et al . Intussusception Pediatric Surgery. 2nd edn. Berlin, Germany: Springer, 2023:2841\u201359."},{"key":"2026010700402247000_8.4.e001072.3","unstructured":"NVR . Intussusception in children. Guideline Database; 2018. Available: http:\/\/www.richtlijnendatabase.nl [accessed 18 Jul 2025]"},{"key":"2026010700402247000_8.4.e001072.4","doi-asserted-by":"crossref","first-page":"8081","DOI":"10.1007\/s00330-021-07935-5","article-title":"Predictors of failed enema reduction in children with intussusception: a systematic review and meta-analysis","volume":"31","author":"Kim","year":"2021","journal-title":"Eur Radiol"},{"key":"2026010700402247000_8.4.e001072.5","doi-asserted-by":"crossref","first-page":"111237","DOI":"10.1016\/j.ejrad.2023.111237","article-title":"Effects of sedatives on radiologic enema reduction in children with ileocolic intussusception: A systematic review and meta-analysis","volume":"170","author":"Hailemariam","year":"2024","journal-title":"Eur J Radiol"},{"key":"2026010700402247000_8.4.e001072.6","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s00247-023-05798-0","article-title":"Intussusception reduction methods in daily practice-a survey by the European Society of Paediatric Radiology Abdominal Imaging Taskforce","volume":"54","author":"Meshaka","year":"2024","journal-title":"Pediatr Radiol"},{"key":"2026010700402247000_8.4.e001072.7","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1111\/j.1651-2227.2003.tb00604.x","article-title":"Conscious or deep sedation: a questionnaire regarding the experience of parents, children and staff during small bowel biopsy","volume":"92","author":"Skogl\u00f6sa","year":"2003","journal-title":"Acta Paediatr"},{"key":"2026010700402247000_8.4.e001072.8","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004078"},{"key":"2026010700402247000_8.4.e001072.9","doi-asserted-by":"crossref","unstructured":"Pagliara C , Zambaiti E , Fati F , et al . Comparison of outcomes following radiological reduction of intussusception with or without sedation. Minerva Pediatr 2023. doi:10.23736\/S2724-5276.23.07149-5","DOI":"10.23736\/S2724-5276.23.07149-5"},{"key":"2026010700402247000_8.4.e001072.10","unstructured":"Dutch Paediatric Society, Dutch Society of Anesthesiology, Netherlands Centre for Youth Health . Sedation, analgesia, and non-pharmacological interventions for supporting children during medical procedures. Richtlijnendatabase; 2023. Available: https:\/\/richtlijnendatabase.nl\/richtlijn\/sedatie_analgesie_en_niet-farmacologische_interventies_voor_begeleiding_van_kinderen_bij_medische_procedures\/startpagina_-_sedatie_analgesie_en_niet-farmacologische_interventies_voor_begeleiding_van_kinderen_bij_medische_procedures.html [Accessed 18 Jul 2025]."}],"container-title":["World Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/wjps-2025-001072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T08:40:31Z","timestamp":1767775231000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjps.bmj.com\/lookup\/doi\/10.1136\/wjps-2025-001072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,9,16]]},"published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1136\/wjps-2025-001072"],"URL":"https:\/\/doi.org\/10.1136\/wjps-2025-001072","relation":{},"ISSN":["2516-5410"],"issn-type":[{"value":"2516-5410","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]}}}