Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center
Purpose The aim of this study was to describe our experience in the management of patients with ventriculoperitoneal shunt–related complications (abdominal pseudocyst, bowel-related complications, and ascites) and to propose treatment recommendations. Material and methods A retrospective descriptive...
Gespeichert in:
| Veröffentlicht in: | Child's nervous system 2021-07, Vol.37 (7), p.2223-2232 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2232 |
|---|---|
| container_issue | 7 |
| container_start_page | 2223 |
| container_title | Child's nervous system |
| container_volume | 37 |
| creator | Basilotta Márquez, Yamila Nadia Itati Mengide, Juan Pablo Liñares, Juan Manuel Saenz, Amparo Argañaraz, Romina Mantese, Beatriz |
| description | Purpose
The aim of this study was to describe our experience in the management of patients with ventriculoperitoneal shunt–related complications (abdominal pseudocyst, bowel-related complications, and ascites) and to propose treatment recommendations.
Material and methods
A retrospective descriptive study was conducted in patients with ventriculoperitoneal shunt–related abdominal complications seen between 2009 and 2019 at a tertiary-care pediatric center. Patients were classified according to their diagnosis into the following: group A (abdominal pseudocyst), group B (bowel-related complications), and group C (ascites). The following variables were studied in all three groups: age, sex, etiology of hydrocephalus, history of pyogenic ventriculitis, history of abdominal surgery, clinical presentation, presence of ventricular enlargement on computed tomography scan, abdominal ultrasonography, shunt series X-ray, cerebrospinal fluid cultures, urgent as well as elective surgical interventions, antibiotic treatment, length of hospital stay, follow-up, and outcome.
Results
Overall, 48 patients were analyzed: group A,
n
=29; group B,
n
=15; and group C,
n
=4. In all cases, surgical decision-making was based on symptom severity at the time of diagnosis, presence of ventricular enlargement on computed tomography scan, and cerebrospinal fluid culture results. In patients with positive cultures, the shunt system was removed, and an external ventricular drain was placed. In oligosymptomatic patients, cerebrospinal fluid culture results were awaited to define long-term treatment and in patients with ventricular enlargement or clinically difficult-to-treat symptoms, the distal catheter was exteriorized at the thoracic level.
Conclusion
In patients with shunt-related abdominal complications, surgical management depends on symptom severity and/or whether infection is present at the time of diagnosis. |
| doi_str_mv | 10.1007/s00381-021-05121-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2504363233</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2504363233</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-26455822ad6d0c31c7369c2bbfd94ed0e435d369c028a44eb6c173b6dd6313eb3</originalsourceid><addsrcrecordid>eNp9kctuFDEQRS1ERIbAD7BAXrJpKLv6McMuinhJkbIJa8ttV08cdduN3Q2aH8n3UsMMLFnYrrLvPSrrCvFGwXsF0H0oALhVFWhejeL98ExsVI1YATbwXGxAN23VQQ2X4mUpjwCq2erdC3GJ2DVKdbART9e9T1OIdpQuTfMYnF1CikWGKGcuKS5F_grLg7TyJzc5uHVMM-WwpEjsKg9rXD7KOac5Fe6HlOVko93TxHKZibFc-TN2yGliVAlxP5KcyQd7ZMqF8hJsPkjHLsqvxMVgx0Kvz-eV-P750_3N1-r27su3m-vbymHdLZVu64a_pK1vPThUrsN253TfD35XkweqsfHHK9BbW9fUt0512Lfet6iQerwS705cnv_HSmUxUyiOxtFGSmsxuoEaW9SILNUnqcuplEyDmXOYeGSjwBzzMKc8DOdh_uRhDmx6e-av_UT-n-VvACzAk6DwU9xTNo9pzRxH-R_2N-_Dmu4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2504363233</pqid></control><display><type>article</type><title>Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center</title><source>SpringerLink Journals</source><creator>Basilotta Márquez, Yamila Nadia Itati ; Mengide, Juan Pablo ; Liñares, Juan Manuel ; Saenz, Amparo ; Argañaraz, Romina ; Mantese, Beatriz</creator><creatorcontrib>Basilotta Márquez, Yamila Nadia Itati ; Mengide, Juan Pablo ; Liñares, Juan Manuel ; Saenz, Amparo ; Argañaraz, Romina ; Mantese, Beatriz</creatorcontrib><description>Purpose
The aim of this study was to describe our experience in the management of patients with ventriculoperitoneal shunt–related complications (abdominal pseudocyst, bowel-related complications, and ascites) and to propose treatment recommendations.
Material and methods
A retrospective descriptive study was conducted in patients with ventriculoperitoneal shunt–related abdominal complications seen between 2009 and 2019 at a tertiary-care pediatric center. Patients were classified according to their diagnosis into the following: group A (abdominal pseudocyst), group B (bowel-related complications), and group C (ascites). The following variables were studied in all three groups: age, sex, etiology of hydrocephalus, history of pyogenic ventriculitis, history of abdominal surgery, clinical presentation, presence of ventricular enlargement on computed tomography scan, abdominal ultrasonography, shunt series X-ray, cerebrospinal fluid cultures, urgent as well as elective surgical interventions, antibiotic treatment, length of hospital stay, follow-up, and outcome.
Results
Overall, 48 patients were analyzed: group A,
n
=29; group B,
n
=15; and group C,
n
=4. In all cases, surgical decision-making was based on symptom severity at the time of diagnosis, presence of ventricular enlargement on computed tomography scan, and cerebrospinal fluid culture results. In patients with positive cultures, the shunt system was removed, and an external ventricular drain was placed. In oligosymptomatic patients, cerebrospinal fluid culture results were awaited to define long-term treatment and in patients with ventricular enlargement or clinically difficult-to-treat symptoms, the distal catheter was exteriorized at the thoracic level.
Conclusion
In patients with shunt-related abdominal complications, surgical management depends on symptom severity and/or whether infection is present at the time of diagnosis.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-021-05121-y</identifier><identifier>PMID: 33751170</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Original Article</subject><ispartof>Child's nervous system, 2021-07, Vol.37 (7), p.2223-2232</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-26455822ad6d0c31c7369c2bbfd94ed0e435d369c028a44eb6c173b6dd6313eb3</citedby><cites>FETCH-LOGICAL-c347t-26455822ad6d0c31c7369c2bbfd94ed0e435d369c028a44eb6c173b6dd6313eb3</cites><orcidid>0000-0003-1779-1737</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-021-05121-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-021-05121-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33751170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Basilotta Márquez, Yamila Nadia Itati</creatorcontrib><creatorcontrib>Mengide, Juan Pablo</creatorcontrib><creatorcontrib>Liñares, Juan Manuel</creatorcontrib><creatorcontrib>Saenz, Amparo</creatorcontrib><creatorcontrib>Argañaraz, Romina</creatorcontrib><creatorcontrib>Mantese, Beatriz</creatorcontrib><title>Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Purpose
The aim of this study was to describe our experience in the management of patients with ventriculoperitoneal shunt–related complications (abdominal pseudocyst, bowel-related complications, and ascites) and to propose treatment recommendations.
Material and methods
A retrospective descriptive study was conducted in patients with ventriculoperitoneal shunt–related abdominal complications seen between 2009 and 2019 at a tertiary-care pediatric center. Patients were classified according to their diagnosis into the following: group A (abdominal pseudocyst), group B (bowel-related complications), and group C (ascites). The following variables were studied in all three groups: age, sex, etiology of hydrocephalus, history of pyogenic ventriculitis, history of abdominal surgery, clinical presentation, presence of ventricular enlargement on computed tomography scan, abdominal ultrasonography, shunt series X-ray, cerebrospinal fluid cultures, urgent as well as elective surgical interventions, antibiotic treatment, length of hospital stay, follow-up, and outcome.
Results
Overall, 48 patients were analyzed: group A,
n
=29; group B,
n
=15; and group C,
n
=4. In all cases, surgical decision-making was based on symptom severity at the time of diagnosis, presence of ventricular enlargement on computed tomography scan, and cerebrospinal fluid culture results. In patients with positive cultures, the shunt system was removed, and an external ventricular drain was placed. In oligosymptomatic patients, cerebrospinal fluid culture results were awaited to define long-term treatment and in patients with ventricular enlargement or clinically difficult-to-treat symptoms, the distal catheter was exteriorized at the thoracic level.
Conclusion
In patients with shunt-related abdominal complications, surgical management depends on symptom severity and/or whether infection is present at the time of diagnosis.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Original Article</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kctuFDEQRS1ERIbAD7BAXrJpKLv6McMuinhJkbIJa8ttV08cdduN3Q2aH8n3UsMMLFnYrrLvPSrrCvFGwXsF0H0oALhVFWhejeL98ExsVI1YATbwXGxAN23VQQ2X4mUpjwCq2erdC3GJ2DVKdbART9e9T1OIdpQuTfMYnF1CikWGKGcuKS5F_grLg7TyJzc5uHVMM-WwpEjsKg9rXD7KOac5Fe6HlOVko93TxHKZibFc-TN2yGliVAlxP5KcyQd7ZMqF8hJsPkjHLsqvxMVgx0Kvz-eV-P750_3N1-r27su3m-vbymHdLZVu64a_pK1vPThUrsN253TfD35XkweqsfHHK9BbW9fUt0512Lfet6iQerwS705cnv_HSmUxUyiOxtFGSmsxuoEaW9SILNUnqcuplEyDmXOYeGSjwBzzMKc8DOdh_uRhDmx6e-av_UT-n-VvACzAk6DwU9xTNo9pzRxH-R_2N-_Dmu4</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Basilotta Márquez, Yamila Nadia Itati</creator><creator>Mengide, Juan Pablo</creator><creator>Liñares, Juan Manuel</creator><creator>Saenz, Amparo</creator><creator>Argañaraz, Romina</creator><creator>Mantese, Beatriz</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1779-1737</orcidid></search><sort><creationdate>20210701</creationdate><title>Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center</title><author>Basilotta Márquez, Yamila Nadia Itati ; Mengide, Juan Pablo ; Liñares, Juan Manuel ; Saenz, Amparo ; Argañaraz, Romina ; Mantese, Beatriz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-26455822ad6d0c31c7369c2bbfd94ed0e435d369c028a44eb6c173b6dd6313eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Basilotta Márquez, Yamila Nadia Itati</creatorcontrib><creatorcontrib>Mengide, Juan Pablo</creatorcontrib><creatorcontrib>Liñares, Juan Manuel</creatorcontrib><creatorcontrib>Saenz, Amparo</creatorcontrib><creatorcontrib>Argañaraz, Romina</creatorcontrib><creatorcontrib>Mantese, Beatriz</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Basilotta Márquez, Yamila Nadia Itati</au><au>Mengide, Juan Pablo</au><au>Liñares, Juan Manuel</au><au>Saenz, Amparo</au><au>Argañaraz, Romina</au><au>Mantese, Beatriz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>37</volume><issue>7</issue><spage>2223</spage><epage>2232</epage><pages>2223-2232</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Purpose
The aim of this study was to describe our experience in the management of patients with ventriculoperitoneal shunt–related complications (abdominal pseudocyst, bowel-related complications, and ascites) and to propose treatment recommendations.
Material and methods
A retrospective descriptive study was conducted in patients with ventriculoperitoneal shunt–related abdominal complications seen between 2009 and 2019 at a tertiary-care pediatric center. Patients were classified according to their diagnosis into the following: group A (abdominal pseudocyst), group B (bowel-related complications), and group C (ascites). The following variables were studied in all three groups: age, sex, etiology of hydrocephalus, history of pyogenic ventriculitis, history of abdominal surgery, clinical presentation, presence of ventricular enlargement on computed tomography scan, abdominal ultrasonography, shunt series X-ray, cerebrospinal fluid cultures, urgent as well as elective surgical interventions, antibiotic treatment, length of hospital stay, follow-up, and outcome.
Results
Overall, 48 patients were analyzed: group A,
n
=29; group B,
n
=15; and group C,
n
=4. In all cases, surgical decision-making was based on symptom severity at the time of diagnosis, presence of ventricular enlargement on computed tomography scan, and cerebrospinal fluid culture results. In patients with positive cultures, the shunt system was removed, and an external ventricular drain was placed. In oligosymptomatic patients, cerebrospinal fluid culture results were awaited to define long-term treatment and in patients with ventricular enlargement or clinically difficult-to-treat symptoms, the distal catheter was exteriorized at the thoracic level.
Conclusion
In patients with shunt-related abdominal complications, surgical management depends on symptom severity and/or whether infection is present at the time of diagnosis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33751170</pmid><doi>10.1007/s00381-021-05121-y</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1779-1737</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0256-7040 |
| ispartof | Child's nervous system, 2021-07, Vol.37 (7), p.2223-2232 |
| issn | 0256-7040 1433-0350 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2504363233 |
| source | SpringerLink Journals |
| subjects | Medicine Medicine & Public Health Neurosciences Neurosurgery Original Article |
| title | Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T13%3A36%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Abdominal%20complications%20in%20patients%20with%20a%20ventriculoperitoneal%20shunt:%20proposal%20for%20management%20recommendations%20from%20a%20single%20pediatric%20tertiary%20center&rft.jtitle=Child's%20nervous%20system&rft.au=Basilotta%20M%C3%A1rquez,%20Yamila%20Nadia%20Itati&rft.date=2021-07-01&rft.volume=37&rft.issue=7&rft.spage=2223&rft.epage=2232&rft.pages=2223-2232&rft.issn=0256-7040&rft.eissn=1433-0350&rft_id=info:doi/10.1007/s00381-021-05121-y&rft_dat=%3Cproquest_cross%3E2504363233%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2504363233&rft_id=info:pmid/33751170&rfr_iscdi=true |