Intestinal intussusception in children

The new version of the clinical guidelines, developed by specialists from the Russian Association of Pediatric Surgeons, provides updated information on the diagnosis and management of the disease in line with recent advancements. These recommendations are based on the results of completed domestic and international randomised clinical trials, including systematic reviews and meta-analyses. For the first time, the guidelines highlight the role of nonspecific mesadenitis in the etiopathogenesis of ileocecal intussusception in children, as well as shifts in the disease’s age distribution from infancy to early childhood. This updated version also revises the long-standing national approach to age and time restrictions for conservative management. It now recommends conservative treatment for all uncomplicated cases of ileocecal invagination. Surgical intervention is advised in cases of complications such as intussusception necrosis, peritonitis, or small intestinal obstruction, as well as when an anatomical abnormality is suspected on ultrasound or if the disease recurs. This publication is intended for practicing paediatric surgeons, anaesthesiologists, paediatricians, and specialists in related fields, as well as residents and postgraduate students in these disciplines.