{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T17:20:59Z","timestamp":1778001659696,"version":"3.51.4"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the feasibility and safety of bedside, single-operator ultrasound-assisted manual reduction (UAMR) in ultrasound-selected, non-transient pediatric intussusception in routine clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 119 ultrasound-selected, non-transient pediatric intussusception encounters managed with bedside UAMR between March 2023 and December 2025. Encounter-level baseline characteristics and index-encounter UAMR outcomes were summarized. Because standardized segment-length measurements and post-discharge recurrence data were not uniformly available in the medical records, the analysis focused on documented clinical characteristics, repeat-attempt patterns, overall bedside success, and the absence of major documented complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 119 encounters, the median age was 5.0\u202fyears (IQR 3.0\u20136.0), and 58 (48.7%) were boys. Multiple intussusceptions, lymph node enlargement, and ascites were documented in 12 (10.1%), 60 (50.4%), and 10 (8.4%) encounters, respectively. UAMR achieved complete resolution on the first attempt in 111\/119 encounters (93.3%); 6 additional encounters resolved after repeated bedside attempts (5 on the second attempt and 1 on the third), yielding an overall index-encounter success rate of 117\/119 (98.3%). Two encounters remained unreduced. No perforation or bleeding was documented in the available records. The recorded check-to-report interval had a median of 13.6\u202fmin (IQR 9.1\u201329.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this single-center series, bedside UAMR showed high index-encounter success and no documented major procedural complications among ultrasound-selected, non-transient pediatric intussusception encounters. Prospective studies with standardized eligibility criteria, stopwatch-measured manipulation time, and structured recurrence follow-up are needed before broader practice recommendations can be made.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1787917","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T05:58:45Z","timestamp":1777442325000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bedside ultrasound-assisted manual reduction in ultrasound-selected, non-transient pediatric intussusception: a single-center experience"],"prefix":"10.3389","volume":"13","author":[{"given":"Xing","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HongYan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medical Ultrasound, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Medical Ultrasound, Wuhan Fourth Hospital","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1186\/s12887-023-03961-y","article-title":"Epidemiology, clinical characteristics, and treatment of children with acute intussusception: a case series","volume":"23","author":"Li","year":"2023","journal-title":"BMC Pediatr"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1007\/s00383-021-04946-7","article-title":"Clinical 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Gastroenterol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1278","DOI":"10.1186\/s40001-025-03562-8","article-title":"Repeated ultrasound-guided hydrostatic reduction for pediatric intussusception: attempt number, interval, and success","volume":"30","author":"Qiang","year":"2025","journal-title":"Eur J Med Res"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1182","DOI":"10.1016\/j.jpedsurg.2010.02.085","article-title":"Is it safe to discharge intussusception patients after successful hydrostatic reduction?","volume":"45","author":"Whitehouse","year":"2010","journal-title":"J Pediatr Surg"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1097\/PEC.0000000000001056","article-title":"A practice guideline for postreduction management of intussusception of children in the emergency department","volume":"35","author":"Kwon","year":"2019","journal-title":"Pediatr Emerg Care"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.jpedsurg.2021.09.047","article-title":"Early discharge after nonoperative management of intussusception is both safe and cost-effective","volume":"57","author":"Arshad","year":"2022","journal-title":"J Pediatr Surg"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"100155","DOI":"10.1016\/j.yjpso.2024.100155","article-title":"Post-reduction observation and recurrence of pediatric intussusception in New Zealand: a national multicenter retrospective study","volume":"7","author":"Elliott","year":"2024","journal-title":"J Pediatr Surg Open"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1787917\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T17:06:32Z","timestamp":1778000792000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1787917\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,29]]},"references-count":19,"alternative-id":["10.3389\/fmed.2026.1787917"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1787917","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,29]]},"article-number":"1787917"}}