The placement of a percutaneous endoscopic gastrostomy (PEG) in a patient with a pre-existing ventriculoperitoneal shunt is generally regarded as safe. A critical but often overlooked technical consideration is confirmation of the course of the distal shunt tube prior to PEG insertion. We present the case of a 4-month-old male infant with shunted hydrocephalus who experienced shunt malfunction due to perforation of the distal shunt tubing after PEG placement.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449579 | PMC |
| http://dx.doi.org/10.14309/crj.2017.75 | DOI Listing |
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