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Ventriculoperitoneal shunt dysfunction and constipation: a chart review

C L Bragg1, J Edwards-Beckett, N Eckle

  • 1Children's Hospital, Columbus, Ohio 43205.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|October 1, 1994
PubMed
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Constipation is common in children with hydrocephalus and may cause ventriculoperitoneal (VP) shunt dysfunction. Bowel cleansing resolved shunt issues in some cases, suggesting a link between constipation and VP shunt problems.

Area of Science:

  • Pediatric Neurosurgery
  • Gastroenterology

Background:

  • Children with hydrocephalus often develop chronic constipation.
  • Ventriculoperitoneal (VP) shunts are common treatments for hydrocephalus.

Purpose of the Study:

  • To investigate the potential role of constipation in ventriculoperitoneal (VP) shunt dysfunction in pediatric patients.

Main Methods:

  • Retrospective chart review of 51 children treated for hydrocephalus.
  • Analysis of documented constipation and VP shunt dysfunction symptoms.
  • Evaluation of outcomes after bowel cleansing interventions.

Main Results:

  • 19 out of 51 children reviewed had documented constipation.
  • In 6 cases, bowel cleansing led to resolution of shunt dysfunction symptoms without surgical revision.

Related Experiment Videos

  • Constipation was characterized by infrequent, difficult stools or colonic fullness.

    • Conclusions:

    • Constipation may influence fluid or pressure dynamics within VP shunts.
    • Constipation is a potential contributing factor to VP shunt dysfunction in children.
    • Bowel management may be a relevant consideration in managing VP shunt issues.