Ventriculo-gallbladder shunt: case series and literature review.
Childs Nerv Syst
; 40(5): 1525-1531, 2024 May.
Article
en En
| MEDLINE
| ID: mdl-38329505
ABSTRACT
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.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Fístula
/
Hidrocefalia
Límite:
Child
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Female
/
Humans
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Male
Idioma:
En
Año:
2024
Tipo del documento:
Article