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Background <p>Ultrasound-guided hydrostatic reduction is an effective non-operative treatment for pediatric intussusception, yet its adoption in low-resource settings remains variable. In Ethiopia, ultrasound-guided hydrostatic reduction of intussusception was introduced in 2014 through a collaborative effort with an international outreach program in pediatric radiology.</p> Objective <p>Our aim is to assess the trends in training, implementation, and sustained practice of ultrasound-guided hydrostatic reduction of intussusception among Ethiopian radiology graduates and the facilities represented in this survey.</p> Materials and methods <p>A survey was conducted targeting all radiology graduates in Ethiopia from 2015 to 2024 (<i>N = </i>365), representing the entire decade following the introduction of the procedure in the country. The questionnaire assessed multiple aspects of practice: exposure during residency, post-graduation practice, current institutional availability, personal confidence, and perspectives regarding its effectiveness.</p> Results <p>We received 184 responses (50.4% response rate); 178 respondents from 75 different facilities provided complete data. Most respondents (150, 84.3%) had training during residency, and 87 (48.9%) reported performing the procedure in their current clinical practice. Of the 75 facilities represented, ultrasound-guided hydrostatic reduction was available in 46, yielding an institutional adoption rate of 61.3%. Confidence was high, with 133 (74.7%) graduates expressing readiness to independently perform the procedure.</p> <p>Graduates practicing outside Ethiopia reported introducing ultrasound-guided hydrostatic reduction in institutions across six African countries (Angola, Lesotho, Liberia, Namibia, Tanzania, and Somalia) highlighting potential cross-border dissemination of training.</p> Conclusion <p>A decade after its introduction, ultrasound-guided reduction of intussusception has become widely taught and increasingly practiced among Ethiopian radiologists. Our findings highlight the impact of radiology educational initiatives and international collaborations.</p> Graphical abstract <p></p>

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A decade after introduction: survey of training and expansion of ultrasound-guided hydrostatic reduction of intussusception in Ethiopia

  • 期刊论文

  • 发表日期：

    2026年3月28日

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  • Samuel Sisay Hailu,
  • Biniyam Beyene Tabor,
  • Bethlehem Belachew,
  • Eyasu Wakjira Korsa,
  • Daniel Zewdneh,
  • Abass Noor,
  • Kassa Darge,
  • Hansel J. Otero

摘要

Background

Ultrasound-guided hydrostatic reduction is an effective non-operative treatment for pediatric intussusception, yet its adoption in low-resource settings remains variable. In Ethiopia, ultrasound-guided hydrostatic reduction of intussusception was introduced in 2014 through a collaborative effort with an international outreach program in pediatric radiology.

Objective

Our aim is to assess the trends in training, implementation, and sustained practice of ultrasound-guided hydrostatic reduction of intussusception among Ethiopian radiology graduates and the facilities represented in this survey.

Materials and methods

A survey was conducted targeting all radiology graduates in Ethiopia from 2015 to 2024 (N = 365), representing the entire decade following the introduction of the procedure in the country. The questionnaire assessed multiple aspects of practice: exposure during residency, post-graduation practice, current institutional availability, personal confidence, and perspectives regarding its effectiveness.

Results

We received 184 responses (50.4% response rate); 178 respondents from 75 different facilities provided complete data. Most respondents (150, 84.3%) had training during residency, and 87 (48.9%) reported performing the procedure in their current clinical practice. Of the 75 facilities represented, ultrasound-guided hydrostatic reduction was available in 46, yielding an institutional adoption rate of 61.3%. Confidence was high, with 133 (74.7%) graduates expressing readiness to independently perform the procedure.

Graduates practicing outside Ethiopia reported introducing ultrasound-guided hydrostatic reduction in institutions across six African countries (Angola, Lesotho, Liberia, Namibia, Tanzania, and Somalia) highlighting potential cross-border dissemination of training.

Conclusion

A decade after its introduction, ultrasound-guided reduction of intussusception has become widely taught and increasingly practiced among Ethiopian radiologists. Our findings highlight the impact of radiology educational initiatives and international collaborations.

Graphical abstract