Experience of a reference center on ventriculo-gallbladder shunt as an alternative treatment for peritoneal failure in children.

Autor: Moreira AD; Department of Pediatric Neurosurgery, National Institute of Health for Women, Children and Adolescent Fernandes Figueira/Fiocruz, Rio de Janeiro, Brazil. alickdurao@gmail.com., Bellas A; Department of Pediatric Neurosurgery, National Institute of Health for Women, Children and Adolescent Fernandes Figueira/Fiocruz, Rio de Janeiro, Brazil.; Department of Pediatric Neurosurgery, Jesus Municipal Hospital, Rio de Janeiro, Brazil., Pousa M; Department of Pediatric Neurosurgery, Jesus Municipal Hospital, Rio de Janeiro, Brazil., Fernandes D; Department of Pediatric Surgery, National Institute of Health for Women, Children and Adolescent Fernandes Figueira/Fiocruz, Rio de Janeiro, Brazil., Guimarães L; Department of Pediatric Surgery, National Institute of Health for Women, Children and Adolescent Fernandes Figueira/Fiocruz, Rio de Janeiro, Brazil., Protzenko T; Department of Pediatric Neurosurgery, National Institute of Health for Women, Children and Adolescent Fernandes Figueira/Fiocruz, Rio de Janeiro, Brazil.; Department of Pediatric Neurosurgery, Jesus Municipal Hospital, Rio de Janeiro, Brazil.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2024 Aug; Vol. 40 (8), pp. 2411-2418. Date of Electronic Publication: 2024 May 02.
DOI: 10.1007/s00381-024-06427-3
Abstrakt: Purpose: Ventriculo-peritoneal shunt is the gold standard for non-obstructive hydrocephalus. Despite advances in material, infection prevention, and valve technologies, failure can still occur. The aim of this article is to present a comprehensive study based on the experience of a reference center in pediatric neurosurgery in Rio de Janeiro with the use of the ventriculo-gallbladder shunt as an alternative to peritoneal failure.
Methods: A retrospective study was conducted from January 2018 to December 2023 of patients diagnosed with cerebrospinal fluid shunt dysfunction due to peritoneal failure and submitted to ventriculo-gallbladder shunt as an alternative in a reference center of Rio de Janeiro.
Results: From 2018 to 2023, 18 peritoneal failures were diagnosed. Among them, 10 patients (55.5%) were selected for ventriculo-gallbladder shunt (VGS). Different causes were responsible for the hydrocephalus in these patients. VGS was placed at a mean age of 35.4 months. Four patients had temporary complications: 2 self-limited diarrheas in the first month and 2 shunt infections. After the resolution of the infection, a new VGS was placed successfully. The average follow-up was 18.8 months (follow-up 9-68 months) without further issues.
Conclusion: VGS is a viable option for patients facing peritoneal failure. This paper provides valuable insights into the surgical technique and outcomes associated with this alternative.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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