Ventriculo-gallbladder shunt: case series and literature review.

Autor: Afornali S; Department of Neurosurgery, Pequeno Príncipe Hospital, Curitiba, Paraná, Brazil.; Department of Neurosurgery, Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil., Beraldo RF; Department of Neurosurgery, Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil., Maeda AK; Department of Neurosurgery, Pequeno Príncipe Hospital, Curitiba, Paraná, Brazil.; Department of Neurosurgery, Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil., Mattozo CA; Department of Neurosurgery, Pequeno Príncipe Hospital, Curitiba, Paraná, Brazil.; Department of Neurosurgery, Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil., Brito RN; Department of Neurosurgery, Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil., Ergen A; Department of Neurosurgery, Derince Research Hospital, Kocaeli, Turkey., Pereira MC; Department of Otolaryngology - Head and Neck Surgery, Albany Medical Centre, Albany, NY, USA., Chaurasia B; Department of Neurosurgery, Neurosurgery Clinic, Birta, Birgunj, 44300, Nepal. trozexa@gmail.com.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2024 May; Vol. 40 (5), pp. 1525-1531. Date of Electronic Publication: 2024 Feb 08.
DOI: 10.1007/s00381-024-06297-9
Abstrakt: 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.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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