WOFAPS 2025 8th World Congress of Pediatric Surgery

Seo-Hee Kim ¹, JuYeon Lee ²

¹ Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Chonnam National University Hospital
² Department of Pediatric Surgery, Chonnam National University Hospital

Purpose

This study aimed to evaluate the efficacy and safety of endoscopic reduction in children with intussusception who failed initial radiological reduction, to explore its potential role in avoiding surgical intervention.

Method

We retrospectively reviewed the cases of 25 pediatric patients with intussusception who underwent colonoscopy as a secondary treatment between January 2022 and December 2023. All patients had failed initial non-operative radiological reduction but were clinically stable and not immediately indicated for surgery. Data collected included patient demographics, procedural success rate, procedure time, complications, and detection of pathological lead points.

Results

The median patient age was 2.1 years (range: 6 months–6 years), with a male-to-female ratio of 2.6:1. Endoscopic reduction was successful in 23 out of 25 patients (92%). The average procedure time was 31 minutes. No major complications such as bleeding or bowel perforation were observed. Lead points were identified in five patients (20%), including Meckel’s diverticulum (n=1), intestinal polyps (n=2), and lymphoma (n=2).

Conclusion

Endoscopic reduction appears to be a safe and effective secondary treatment for pediatric intussusception after failed radiological reduction, potentially reducing the need for surgery. Further prospective studies are warranted to validate these findings and define patient selection criteria.