Related Experiment Video

Updated: Apr 15, 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

12.0K

Ventriculoperitoneal shunt perforations of the gastrointestinal tract

Grace Muthoni Thiong'o1, Christopher Luzzio2, A Leland Albright1

  • 1Division of Neurosurgery, Department of Surgery, Kijabe Hospital, Kijabe, Kenya; and.

Journal of Neurosurgery. Pediatrics
|April 4, 2015
PubMed

Insights

Chhabra shunts were linked to a higher rate of gastrointestinal (GI) perforations in children with ventriculoperitoneal (VP) shunts. This increased risk may be due to their higher frictional forces, not stiffness.

Area of Science:

  • Pediatric Neurosurgery
  • Medical Device Engineering

Background:

  • Ventriculoperitoneal (VP) shunts are crucial for treating hydrocephalus in children.
  • Shunt malfunction, including gastrointestinal (GI) perforation, is a serious complication.

Purpose of the Study:

  • To determine the incidence of VP shunt GI perforations in pediatric patients.
  • To identify specific shunt types associated with perforations.
  • To compare the mechanical properties (stiffness, friction) of perforating shunts with others.

Main Methods:

  • Retrospective review of 197 pediatric VP shunt malfunction cases.
  • Mechanical testing of shunt catheters for stiffness (compression, buckling, bending) and frictional force.

Main Results:

  • Six children experienced VP shunt GI perforations; all involved Chhabra shunts.
  • Chhabra catheters exhibited the least stiffness and highest frictional force compared to Medtronic and Codman catheters.
  • Perforations presented as anal/oral protrusion or subcutaneous abscesses.

Conclusions:

  • Chhabra shunts demonstrate a higher perforation rate than other tested shunt types.
  • The increased perforation risk appears correlated with higher catheter friction, not reduced stiffness.
  • Further investigation into Chhabra shunt design and material properties is warranted.

Keywords:
GI = gastrointestinalVP = ventriculoperitonealWBC = white blood cellcatheterextrusionshydrocephalusperforationsventriculoperitoneal shunts

More Related Videos

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

1.2K
Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair09:00

Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair

Published on: November 12, 2021

2.4K

Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
808
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
1.0K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
889
Peritoneum01:21

Peritoneum

The peritoneum is a vital membrane that lines the abdominal cavity and covers most of the organs within it. It plays a crucial role in protecting the organs, providing a smooth surface for their movement, and facilitating various physiological processes. Understanding the anatomy and function of the peritoneum is essential for comprehending the complexities of the abdominal region.
Anatomy of the Peritoneum
The peritoneum is divided into two layers: the parietal peritoneum and the visceral...
13.2K
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
1.5K