Ventriculo-gallbladder shunt: case series and literature review

Ventriculo-gallbladder shunt: case series and literature review

Background The ventriculoperitoneal shunt (VPS) is the gold-standard surgical technique to treat hypertensive hydrocephalus; however, it may fail in 20 to 70% of cases. The present study shows an alternative for patients with contraindications to VPS. Methods A case series of nine patients. The medi...

Full description

Saved in:
Bibliographic Details
Published in:Child's nervous system Vol. 40; no. 5; pp. 1525 - 1531
Main Authors: Afornali, Sandrieli, Beraldo, R. Fedatto, Maeda, A. Keijiro, Mattozo, C. Alberto, Brito, R. Nascimento, Ergen, Anil, Pereira, M. Charles, Chaurasia, Bipin
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-05-2024
Subjects:
Child
Female
Fistula - complications
Fistula - surgery
Gallbladder - surgery
Humans
Hydrocephalus - surgery
Male
Medicine
Medicine & Public Health
Neurosciences
Neurosurgery
Prostheses and Implants - adverse effects
Ventriculoperitoneal Shunt - adverse effects
Ventriculo-cholecystic shunt
Abdominal pseudocysts
Ventriculo-gallbladder shunt
Hydrocephalus
Shunt complications
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The ventriculoperitoneal shunt (VPS) is the gold-standard surgical technique to treat hypertensive hydrocephalus; however, it may fail in 20 to 70% of cases. The present study shows an alternative for patients with contraindications to VPS. Methods A case series of nine patients. The medical records of all patients under 17 years of age who underwent ventriculo-gallbladder (VGB) shunt at a pediatric hospital from January 2014 to October 2022 were reviewed. Results There were 6 (66.7%) males and 3 (33.3%) females. The average age of 73.6 months or 6.1 years at the time of surgery. They had undergone, on average, 5.1 VPS reviews before the VGB shunt. Five (55.5%) had complications of VGB shunt: infection (11.1%), atony (11.1%), hypodrainage (11.1%), and ventriculoenteric fistula (22.2%); all these patients got better at surgical reapproach, and in two of them, the VGB shunt was re-implanted. Conclusion This case series shows a lower risk of death and a similar risk of complications compared to other alternative shunts. This article spotlighted VGB as a viable alternative when VPS fails or has contraindications.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-024-06297-9