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Updated: Aug 25, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

[Percutaneous endoscopic gastrostomy in children with ventriculoperitoneal shunt]

E Valletta1, G Angelini, A Castagnini

  • 1Clinica Pediatrica, Università di Verona, Policlinico GB Rossi, Verona. e.valletta@virgilio.it

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|April 3, 2004
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) is safe for children with hydrocephalus and ventriculoperitoneal shunts. Careful management of PEG placement and potential complications like infection is crucial for patient safety.

Area of Science:

  • Pediatric Gastroenterology
  • Neurosurgery
  • Medical Device Management

Background:

  • Patients with hydrocephalus often require ventriculoperitoneal (VP) shunts.
  • Percutaneous endoscopic gastrostomy (PEG) is a common procedure for nutritional support.
  • The safety of PEG placement in patients with VP shunts requires careful consideration.

Observation:

  • Four children with spastic quadriplegia and VP shunts underwent PEG placement.
  • Median follow-up was 15 months (range 4-32 months).
  • Intravenous antibiotic prophylaxis was administered routinely, preventing shunt infection.

Findings:

  • One patient experienced peritoneal infection after accidental PEG dislodgement, requiring catheter diversion.
  • A second dislodgement in the same patient caused serous peritoneal fluid but no shunt infection or malfunction.
  • VP shunt location did not interfere with gastrostomy placement in any patient.

Implications:

  • PEG placement is not contraindicated in patients with VP shunts.
  • Awareness and prevention of catheter-related infections are essential.
  • This approach can be safely managed with appropriate precautions.

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