Neonatal and early infant intussusception: a 24-year retrospective review from a tertiary referral center.

IF 2.5 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2026-09-01 Epub Date: 2026-05-28 DOI:10.1007/s00247-026-06663-6

Caroline Rutten, Adriana Koenig, Augusto Zani, Alan Daneman

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引用次数: 0

Abstract

Background: Intussusception in neonates and young infants is rare, with limited data to guide management.

Objective: This study aims to characterize the presentation, management, and outcomes of intussusception in infants ≤100 days of age.

Materials and methods: Radiology reports were searched for the keyword "intussusception" in infants ≤100 days over a 24-year period (January 1, 2000-July 31, 2024). Patient charts were reviewed, and cases with negative imaging studies were excluded. Data were analyzed for patient demographics, presenting symptoms, imaging, and management approach, including operative or non-operative interventions. Intussusceptions were classified as small bowel-small bowel (SB/SB), enteric tube-related SB/SB, or ileocolic.

Results: Of 301 charts reviewed, 124 neonates and young infants ≤100 days of age met inclusion criteria (median age, 55 days; range, 0-100 days). SB/SB intussusception accounted for 94/124 cases (76%), which included 36 (38%) enteric tube-related. Most SB/SB cases were incidental findings, and only two required surgery. Management of enteric tube-related intussusceptions consisted primarily of conservative measures such as tube shortening or removal, with complete resolution and no case requiring surgery. Thirty infants (24%) had ileocolic intussusception. Air enema was attempted in 26, with a success rate of 80% (21/26) and no perforations occurred. Surgical intervention was required in 8 cases, revealing pathologic lead points in 4 cases (duplication cysts - 3; Meckel's diverticulum - 1), corresponding to 13% of ileocolic intussusceptions.

Conclusion: SB/SB intussusceptions predominate and rarely require intervention. Ileocolic intussusception accounts for 24% of cases, with air enema proving safe and effective in most cases. Most ileocolic intussusceptions are idiopathic (87%), with pathologic lead points identified in 13%, a higher proportion than reported in older children.

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新生儿和早期婴儿肠套叠：来自三级转诊中心的24年回顾性审查。

背景：新生儿和婴幼儿肠套叠罕见，指导治疗的资料有限。目的：本研究旨在描述≤100日龄婴儿肠套叠的表现、处理和结局。材料与方法：检索24年间（2000年1月1日- 2024年7月31日）≤100天婴儿的放射学报告，检索关键词“肠套叠”。我们回顾了患者的病历，排除了影像学阴性的病例。数据分析患者人口统计学、表现症状、影像学和治疗方法，包括手术或非手术干预。肠套叠分为小肠-小肠（SB/SB）、肠管相关性SB/SB或回结肠。结果：在所审查的301张图表中，124例新生儿和小于100天的婴幼儿符合纳入标准（年龄中位数为55天，范围为0-100天）。SB/SB型肠套叠94/124例（76%），其中与肠管相关36例（38%）。大多数SB/SB病例是偶然发现的，只有两例需要手术。肠管相关肠套叠的处理主要包括保守措施，如缩短或切除肠管，完全解决，没有病例需要手术。30例（24%）患儿发生回肠-结肠肠套叠。26例患儿尝试空气灌肠，成功率为80%(21/26)，未发生穿孔。手术干预8例，发现病理线索4例（重复囊肿3例；Meckel憩室1例），对应13%的回肠肠套叠。结论：SB/SB型肠套叠多见，不需干预。回肠结套叠占24%，空气灌肠在大多数情况下是安全有效的。大多数回结肠肠套叠是特发性的（87%），其中13%为病理导联点，比大龄儿童报告的比例更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.