Abstract:
BACKGROUND:Limited historical data suggest that concomitant placement of both a ventriculoperitoneal (VP) shunt and percutaneous endoscopic gastrostomy (PEG) tube is associated with an increased risk of complications, including VP shunt infections. Here we compare the outcomes and cost difference between 2 groups of patients, one in which a VP shunt and PEG tube were placed in the same operation and the other in which separate operations were performed. METHODS:A total of 10 patients underwent simultaneous placement of a VP shunt and PEG tube. This group was compared with a group of 18 patients that underwent separate placements. Hospital billing charges were used to compare the total cost of the procedures in the 2 groups. RESULTS:Eight of the 10 patients presented with aneurysmal subarachnoid hemorrhage. The average length of stay was 25 ± 2 days for the simultaneous procedure group and 43 ± 7 days for the separate procedures group. The average duration of follow-up was 12 ± 3 months after simultaneous placement. No patient in the simultaneous surgery group had signs of infection or shunt malfunction at last follow-up. The overall complication rate was significantly lower in the simultaneous surgery group. A cost analysis demonstrated significant cost savings by completing both procedures in the same surgical procedure. CONCLUSIONS:Simultaneous placement of a PEG tube and VP shunt is safe, efficacious, and cost-effective. Thus, in patients requiring both a VP shunt and PEG tube, placement of both devices in a single surgical procedure should be considered.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Jack MM,Peterson JC,McGinnis JP,Alley J,Chamoun RBdoi
10.1016/j.wneu.2018.04.024subject
Has Abstractpub_date
2018-07-01 00:00:00pages
e233-e237eissn
1878-8750issn
1878-8769pii
S1878-8750(18)30740-Xjournal_volume
115pub_type
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2018.01.100
更新日期:2018-04-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.03.148
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doi:10.1016/j.wneu.2013.06.021
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.01.076
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2010.01.013
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.06.023
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journal_title:World neurosurgery
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doi:10.1016/j.wneu.2010.09.029
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.wneu.2017.07.143
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journal_title:World neurosurgery
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pub_type: 杂志文章,多中心研究
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更新日期:2017-06-01 00:00:00
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journal_title:World neurosurgery
pub_type:
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更新日期:2020-03-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2018.04.053
更新日期:2018-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2017.10.118
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pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2018-06-01 00:00:00
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journal_title:World neurosurgery
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更新日期:2020-04-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.08.083
更新日期:2017-11-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2012.01.038
更新日期:2013-03-01 00:00:00
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journal_title:World neurosurgery
pub_type:
doi:10.1016/j.wneu.2020.06.090
更新日期:2020-10-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.05.003
更新日期:2017-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.09.051
更新日期:2019-01-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2019.02.144
更新日期:2019-06-01 00:00:00