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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Risk of ventriculoperitoneal shunt infection with coexisting percutaneous endoscopic gastrostomy tube and associated

Kevin Tyler1, Stuart M Leon1, Stephen Lowe2

  • 1Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, 96 Jonathan Lucas St. CSB 416, Charleston, SC, 29425, USA.

Heliyon
|March 27, 2020
PubMed

Insights

The study found a low ventriculoperitoneal shunt (VPS) infection rate of 7% in neurologically impaired patients receiving both VPS and percutaneous endoscopic gastrostomy (PEG) tubes during the same hospitalization. Systemic inflammatory response syndrome (SIRS) did not increase VPS infection risk.

Area of Science:

  • Neurosurgery
  • Gastroenterology
  • Infectious Disease

Background:

  • Percutaneous endoscopic gastrostomy (PEG) tubes and ventriculoperitoneal shunts (VPS) are frequently used in neurologically impaired patients.
  • Concerns exist regarding the safety of co-placing PEG tubes and VPS due to potential increased infection risk.

Purpose of the Study:

  • To evaluate the risk of VPS infection in patients undergoing both PEG and VPS procedures during the same hospitalization.
  • To determine the optimal timing between PEG and VPS placements to minimize infection risk.

Main Methods:

  • Retrospective chart review of 45 patients who had VPS and PEG tubes placed between 2014 and 2018.
  • Analysis of VPS infection rates, timing of procedures, and factors like SIRS criteria, comorbidities, and other procedures.

Main Results:

  • The VPS infection rate was 7% (3 out of 45 patients).
  • Infection occurred at 4, 16, and 36 days post-procedure.
  • No association was found between SIRS criteria at VPS placement and the risk of VPS infection.

Conclusions:

  • VPS infection rates remain low even when procedures are performed during the same hospitalization.
  • SIRS is not a contraindication for VPS placement and does not correlate with increased infection risk.
Abstract

Keywords:
AnatomyCritical careEvidence-based medicineGastrostomy tubeInfectionNeuroscienceNeurosurgeryPEGPathologySIRSSystemic inflammatory response syndromeVP shuntVentriculoperitoneal shunt

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