Gastrostomy and internal cerebrospinal fluid shunt in adults. A systematic review and meta-analysis of the risk of infection

Champeaux-Depond, Charles; Razafindratovo, Rado Malalatiana Ramasy; Chevret, Sylvie

doi:10.1016/j.neuchi.2022.08.001

Neurochirurgie

2022

DOI: 10.1016/j.neuchi.2022.08.001

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Gastrostomy and internal cerebrospinal fluid shunt in adults. A systematic review and meta-analysis of the risk of infection

Charles Champeaux-Depond

Rado Malalatiana Ramasy Razafindratovo

Sylvie Chevret

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2024

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Cited by 2 publications

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Safety Study of Percutaneous Gastroscopic Gastrostomy in Patients After Ventriculoperitoneal Shunt

Wang,

Peng,

Huang

et al. 2024

The American Surgeon™

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Objective To evaluate the safety study of percutaneous gastroscopic gastrostomy in patients after ventriculoperitoneal shunt. Methods We conducted a retrospective analysis of neurosurgical patients who underwent VPS and PEG at our hospital between January 2012 and November 2023. Patients were divided into 2 groups: VPS group and VPS followed by PEG gruop. Patients received routine antibiotic prophylaxis before the procedure, continued for 48 hours. Follow-up included monitoring immediate complications, particularly wound infection, intracranial infection, neurologic status deterioration, and shunt dysfunction. Routine follow-up visits were conducted post-discharge. Results In the VPS group (n = 778), the incidence of intracranial infection was 3.08%. Among patients with PEG after VPS, the time interval between procedures ranged from 13 to 685 days. The mean follow-up period was 22 (1-77) months, with no deaths or further complications. Conclusion Performing PEG more than 13 days after VPS does not significantly increase the risk of intracranial infections or PEG-associated infections, making it a relatively safe procedure.

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Safety Study of Percutaneous Gastroscopic Gastrostomy in Patients After Ventriculoperitoneal Shunt

Wang,

Peng,

Huang

et al. 2024

The American Surgeon™

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Combination of Percutaneous Endoscopic Gastrostomy and Lumboperitoneal Shunt: A Case Report

Tanaka,

Kumono,

Naito

et al. 2024

Cureus

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The combination of percutaneous endoscopic gastrostomy (PEG) and cerebrospinal fluid (CSF) shunt surgery presents unique challenges in managing shunt-related infections. Although the association between PEG and ventriculoperitoneal (VP) shunt surgery is well documented, studies on the combination of PEG and lumboperitoneal (LP) shunt surgeries are limited. We report the case of a 70-year-old man who developed hydrocephalus after decompressive craniectomy for ischemic stroke. The patient required PEG for nutritional support and an LP shunt for CSF drainage. PEG was initially performed. After 16 days, an LP shunt was placed using the lateral approach to maximize the distance between the PEG site and abdominal incision. Subcutaneous CSF leakage was resolved without any shunt infection at the three-month follow-up. This case highlights the importance of strategically combining PEG and LP shunts to minimize infection risk. Maximizing the distance between the PEG site and abdominal incision for the LP shunt may help prevent shunt-related infections, warranting further clinical investigation.

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Gastrostomy and internal cerebrospinal fluid shunt in adults. A systematic review and meta-analysis of the risk of infection

Cited by 2 publications

References 39 publications

Safety Study of Percutaneous Gastroscopic Gastrostomy in Patients After Ventriculoperitoneal Shunt

Safety Study of Percutaneous Gastroscopic Gastrostomy in Patients After Ventriculoperitoneal Shunt

Combination of Percutaneous Endoscopic Gastrostomy and Lumboperitoneal Shunt: A Case Report

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