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Recurrent Ileocolic Intussusception in Children: A Scoping Review
Salvatore Arena1, Fabiola Cassaro1, Giulia Maisano1
1Department of Human Pathology of Adult and Childhood "Gaetano Barresi", University of Messina, Messina, Italy.
International Journal of Pediatrics
|April 2, 2025
Summary
Recurrent intussusception in children is common, with over 85% successfully managed non-surgically. Surgery for recurrent intussusception is reserved for suspected pathological leading points or multiple episodes.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Clinical Research
Background:
- Intussusception is the leading cause of intestinal obstruction in children.
- Recurrent intussusception (RI) lacks a validated treatment algorithm.
- Optimal management strategies for pediatric RI require further definition.
Purpose of the Study:
- To evaluate the incidence of recurrent intussusception (RI) in children.
- To determine surgical intervention and pathological leading point (PLP) rates in RI.
- To define the most appropriate management for pediatric RI.
Main Methods:
- Systematic literature review of English-written pediatric intussusception studies.
- Inclusion criteria excluded case reports, adult/mixed cases, specific intussusception types, and meta-analyses.
- Data extraction focused on RI incidence, non-surgical reduction attempts, surgical rates, and PLP identification.
Main Results:
- 23 articles analyzed 26,731 intussusception cases, including 3164 (11.8%) with recurrence.
- Median of 5 non-surgical reduction attempts were reported for RI.
- 12.1% of RI patients underwent surgery, with a 3.95% overall PLP rate.
Conclusions:
- Pathological leading points (PLPs) are infrequently found and not clearly associated with intussusception recurrence.
- Over 85% of recurrent intussusception cases achieve successful non-surgical management.
- Pediatric recurrent intussusception management mirrors primary cases; surgery is indicated for suspected PLP or persistent recurrence after discussion with parents.
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