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Experience of a reference center on ventriculo-gallbladder shunt as an alternative treatment for peritoneal failure in children.
Childs Nerv Syst
August 2024
Department of Pediatric Neurosurgery, National Institute of Health for Women, Children and Adolescent Fernandes Figueira/Fiocruz, Rio de Janeiro, Brazil.
Article Synopsis
- The study focuses on the ventriculo-gallbladder shunt (VGS) as an alternative to the standard ventriculo-peritoneal shunt for treating hydrocephalus in children who experience peritoneal failure.
- Conducted from January 2018 to December 2023, the research involved 18 patients with shunt dysfunction, with 10 undergoing successful VGS placement, showcasing a mean age of 35.4 months.
- Results indicated some temporary complications (like mild diarrhea and infections), but overall, the VGS showed promising outcomes with an average follow-up of 18.8 months without major issues.
Introduction: Permanent liquor diversion is associated with a high risk of failure and often requires re-intervention. The ventriculo-gallbladder shunt (VGS) has been recognized as a last-resort alternative for treating hydrocephalus when the peritoneum or other distal sites are no longer suitable for receiving shunts. This article aims to report a case from a neurosurgery referral service in Brazil and review the literature on this issue.
View Article and Find Full Text PDFVentriculo-gallbladder shunt: case series and literature review.
Childs Nerv Syst
May 2024
Department of Neurosurgery, Neurosurgery Clinic, Birta, Birgunj, 44300, Nepal.
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.
Can we consider ventriculo-gallbladder shunt a first-line treatment in selected patients? Case report of a successful management.
Childs Nerv Syst
July 2023
Department of Neurosurgery, Fattouma Bourguiba University Hospital, Avenue Farhat Hached, 5000, Monastir, Tunisia.
Introduction: Ventriculo-gallbladder shunt (VGS) has been recognized as a last-resort alternative to treat hydrocephalus when the peritoneum and/or other distal sites can no longer receive shunts. In some specific conditions, it may be conceded as a first-line treatment.
Case Presentation: We report the case of a 6-month-old girl with progressive post-hemorrhagic hydrocephalus who presented a concomitant chronic abdominal symptom.
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