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Updated: Feb 11, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Safety, Efficacy, and Cost-Analysis of Percutaneous Endoscopic Gastrostomy and Ventriculoperitoneal Shunt Placement

Megan M Jack1, Jeremy C Peterson1, J P McGinnis2

  • 1Department of Neurosurgery, The University of Kansas Medical Center, Kansas City, Kansas, USA.

World Neurosurgery
|April 16, 2018
PubMed

Insights

Simultaneous placement of ventriculoperitoneal (VP) shunts and percutaneous endoscopic gastrostomy (PEG) tubes is safe and cost-effective. This approach reduces hospital stays and complication rates compared to separate procedures.

Area of Science:

  • Neurosurgery
  • Gastroenterology
  • Medical Device Placement

Background:

  • Historical data suggest increased complications with combined VP shunt and PEG tube placement.
  • VP shunt infections are a noted concern in combined procedures.

Purpose of the Study:

  • To compare outcomes and costs of simultaneous versus separate VP shunt and PEG tube placement.
  • To evaluate the safety and efficacy of combined surgical procedures.

Main Methods:

  • A comparative study involving 10 patients with simultaneous VP shunt and PEG tube placement.
  • Comparison with 18 patients who underwent separate procedures.
  • Hospital billing charges analyzed for cost comparison.

Main Results:

  • Simultaneous placement group had a shorter average hospital stay (25 days vs. 43 days).
  • No infections or shunt malfunctions observed in the simultaneous group.
  • Significantly lower overall complication rates and substantial cost savings in the simultaneous group.

Conclusions:

  • Simultaneous VP shunt and PEG tube placement is safe, effective, and cost-efficient.
  • Recommends considering single-stage placement for patients needing both devices.
Abstract

Keywords:
HydrocephalusInfectionPercutaneous endoscopic gastrostomyVP shuntVentriculoperitoneal shunt

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