AANS Beyond 2021: Scientific Papers Collection-Complications Associated with Gastronomy and Ventriculoperitoneal Shun Placement

Complications Associated with Gastronomy and Ventriculoperitoneal Shun Placement

Video Transcription

Video Summary

In the video, Dr. Gareth Gilman presents complications associated with gastrostomy and ventricular peritoneal (VP) shunt placement in pediatric patients. Gastrostomy tube (G-tube) placement alongside VP shunts increases the risk of complications and failure. The research team analyzed data from the nationwide readmission database of patients under 18 years old who had G-tube and VP shunt during the same hospitalization. Out of 626 patients identified over five years, 13% experienced G-tube complications, most commonly localized infection. Shunt complications occurred in 21% of cases, leading to a 35% revision rate, and readmission rates were 26% at 30 days and 48% within a year. Laparoscopic G-tube placement had better outcomes and reduced complications in newborns compared to open procedures. Specialist consideration is advised for the use of laparoscopy. No specific credits were mentioned.

Keywords

complications

gastrostomy

VP shunt placement

readmission rates

laparoscopic G-tube placement