FOR THE MEDICAL PRACTITIONER
Pediatric Surgery
doi: 10.25005/2074-0581-2026-28-1-215-221
CONTEMPORARY VIEWS ON THE DIAGNOSIS AND TREATMENT OF INTUSSUSCEPTION IN CHILDREN

A.M. SHAMSIEV1,2, J.A. SHAMSIEV1,2, I.U. TAGAEV1, Z.M. MAKHMUDOV1,2

1Specialized Pediatric Surgical Clinic, Samarkand, Republic of Uzbekistan
2Samarkand State Medical University, Samarkand, Republic of Uzbekistan

Objective: To optimize the diagnosis and treatment of intestinal intussusception (II) in children.

Methods: The study analyzed the medical records of 132 patients aged 2 months to 10 years with II. Patients were divided into two groups. The Control Group (CG) consisted of 59 children (44.7%) treated between 2000 and 2014. For symptoms lasting up to 12 hours, a conservative reduction method – pneumoirrigoscopy (PIS) – was used in this group. The Main Group (MG) included 73 patients (55.3%) treated from 2014 to 2023. In this group, a new method for diagnosing and treating II was implemented: ultrasound-guided hydroechocolonography (HEC).

Results: Analysis showed that the rate of successful conservative reduction was higher in the MG (53.4%; 39 of 73 patients) than in the CG (39.0%; 23 of 59 children). MG patients with successful HEC were discharged within 2-3 days, and recurrences were monitored by ultrasound. In contrast, CG patients were discharged on days 4-5, and recurrences were monitored with X-ray contrast studies, which led to additional radiation exposure.

Conclusion: HEC demonstrated high efficacy, allowing for conservative treatment of II in most cases without the need for surgery. Furthermore, the technique showed positive results even in patients admitted more than 24 hours after symptom onset, confirming its clinical significance and appropriateness.

Keywords: Intestinal intussusception, children, radiography, ultrasound, hydroechocolonography, pneumoirrigoscopy, conservative treatment.

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References

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Authors' information:

Shamsiev Azamat Mukhitdinovich,
Doctor of Medical Sciences, Full Professor, Professor of the 1st Pediatric Surgery Department, Samarkand State Medical University; Consultant of the Specialized Pediatric Surgical Clinic
ORCID ID: 0000-0002-2915-8835
E-mail: shamsiev.azamat@mail.ru

Shamsiev Jamshid Azamatovich,
Doctor of Medical Sciences, Full Professor, Head of the Department of Pediatric Surgery, Anesthesiology and Resuscitation of the Faculty of Postgraduate Education, Samarkand State Medical University; Chief Physician of the Specialized Pediatric Surgical Clinic
ORCID ID: 0000-0003-3751-2352
E-mail: shamsiyevja@mail.ru

Tagaev Ilkhom Ulashevich,
PhD, Head of the Department of 2nd General Surgery, Specialized Pediatric Surgical Clinic
ORCID ID: 0009-0007-5039-2689
E-mail: 13.06.1972tagaev@gmail.com

Makhmudov Zafar Mamadzhanovich,
PhD, Assistant Professor of the Department of Pediatric Surgery, Anesthesiology and Resuscitation of the Faculty of Postgraduate Education, Samarkand State Medical University; Head of the Department of 1st General Surgery of the Specialized Pediatric Surgical Clinic
ORCID ID: 0000-0001-7511-8909
E-mail: zafarebox@mail.ru

Information about support in the form of grants, equipment, medications

This work was carried out in accordance with the research plan of Samarkand State Medical University: "Development of advanced technologies for the prevention, diagnosis, and treatment of socially significant human diseases of infectious and non-infectious etiology" (State Registration No. 012000260). The authors did not receive financial support from manufacturers of medicines and medical equipment.

Conflicts of interest: No conflict

Address for correspondence:

Makhmudov Zafar Mamadzhanovich,
PhD Assistant Professor of the Department of Pediatric Surgery, Anesthesiology and Resuscitation of the Faculty of Postgraduate Education, Samarkand State Medical University; Head of the Department of 1st General Surgery of the Spe- cialized Pediatric Surgical Clinic

140100, Republic of Uzbekistan, Samarkand, Orzu str., 32

Tel.: +998 (979) 134689

E-mail: zafarebox@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

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