Akademik Veri Yönetim Sistemi
Van Medical Journal, cilt.33, sa.2, ss.189-196, 2026 (Scopus, TRDizin)
Introduction: Intussusception is a leading cause of acute abdomen in infancy and early childhood and may result in serious complications if diagnosis and treatment are delayed. Early recognition and appropriate non-operative management play a crucial role in reducing the need for surgical intervention. This study aimed to evaluate the clinical, laboratory, radiological, and treatment characteristics of pediatric intussusception cases followed at a single tertiary center and to identify independent predictors associated with surgical intervention. Materials and Methods: This retrospective study included 385 pediatric patients diagnosed with intussusception after applying predefined exclusion criteria at XXX University between January 1, 2015, and December 30, 2024. Demographic characteristics, presenting symptoms, laboratory findings, radiological diagnostic methods, treatment approaches, and clinical outcomes were o btained from medical records. Ultrasonographic intussusception length was measured along the longest longitudinal axis of the affected bowel segment. Statistical analyses were performed using non-parametric tests, and multivariate binary logistic regression analysis was applied to identify independent predictors of surgical intervention. A p-value of <0.05 was considered statistically significant. Results: The median age of the patients was 26 months, and the majority of cases were diagnosed using ultrasonography as the first-line imaging modality. Non-operative treatment was successful in most patients, with hydrostatic reduction being the most commonly used method. Surgical intervention was required in 15.4% of cases. Patients who underwent surgery had significantly longer ultrasonographic intussusception lengths, lower hemoglobin levels, and higher leukocyte and platelet counts. In multivariate logistic regression analysis, ultrasonographically measured intussusception length emerged as the only independent factor signifi cantly associated with the need for surgical intervention. Conclusion: Ultrasonographic intussusception length is a strong and independent predictor of surgical intervention in pediatric intussusception. Incorporating this parameter into the early evaluation process may aid clinical decision-making, optimize patient selection for non-operative management, and potentially reduce unnecessary surgical interventions.