Acute Shunt Malfunction Caused by Percutaneous Endoscopic Gastrostomy without Shunt Infection
نویسندگان
چکیده
Percutaneous endoscopic gastrostomy tube placement is often performed in patients with a ventriculoperitoneal shunt and it has been accepted as a safe procedure. The authors report a case of a 50-year-old male who developed acute exacerbation of the hydrocephalus immediately after the percutaneous endoscopic gastrostomy tube placement without any signs of shunt infection, which has not been reported until now. After revision of the intraperitoneal shunt catheter, the sizes of the intracranial ventricles were normalized.
منابع مشابه
Acute Shunt Failure Due to Perforation of Ventriculoperitoneal Shunt Tubing during Percutaneous Gastrostomy
The placement of a percutaneous endoscopic gastrostomy (PEG) in a patient with a pre-existing ventriculoperitoneal shunt is generally regarded as safe. A critical but often overlooked technical consideration is confirmation of the course of the distal shunt tube prior to PEG insertion. We present the case of a 4-month-old male infant with shunted hydrocephalus who experienced shunt malfunction ...
متن کاملPercutaneous transesophageal gastrotubing: nutrition for a patient with ventricloperitoneal shunt
Objective and Importance We report a Percutaneous transesophageal gastrotubing (PTEG) placement in a patient in whom ventricloperitoneal shunt had been inserted beforehand for a purpose of shunt protection from inadvertent infection. Technique – Using nonsurgical esophagostomy under ultrasonographic control, a feeding tube has been inserted for a 29-year-old male with ventricloperitoneal shunt....
متن کاملPercutaneous transesophageal gastrotubing: alternative tube nutrition for a patient with a ventriculoperitoneal shunt.
BACKGROUND We report a patient who underwent percutaneous transesophageal gastrotubing (PTEG), that is, nonsurgical esophagostomy under ultrasonographic control, as an alternative to percutaneous endoscopic gastrostomy (PEG). CASE DESCRIPTION The PTEG was placed for shunt protection from inadvertent infection in a 29-year-old male patient in whom a ventriculoperitoneal (VP) shunt had previous...
متن کاملSupplementary comment on "analysis of risk factors for infection in coplacement of percutaneous endoscopic gastrostomy and ventriculoperitoneal shunt".
Patients with severe neurological impairment requiring tube feeding may have concomitant hydrocephalus. Coplacement of percutaneous endoscopic gastrostomy (PEG) and ventriculoperitoneal (VP) shunting is currently standard in such cases. The present study investigated the risk factors for shunt infection in such patients. The medical records of 23 patients with PEG and VP shunting were retrospec...
متن کاملPercutaneous endoscopic gastrostomy in patients with ventriculoperitoneal shunt.
INTRODUCTION Percutaneous endoscopic gastrostomy (PEG) placement in patients with ventriculo-peritoneal shunt (VPS) may be associated with complications. This study reports our experience of PEG in patients with VPS. MATERIALS AND METHODS Consecutive patients undergoing PEG insertion in a gastroenterology unit over 18 month's period were retrospectively analyzed. All patients were evaluated b...
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