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Placement of Gastrostomy Tubes in Patients with Ventriculoperitoneal Shunts Does Not Result in Increased Incidence of Shunt Infection or Decreased Survival

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Abstract

The objective of this study was to examine if G-tube (G-tube) placement in patients with ventriculoperitoneal (VP) shunts results in shunt infection or impacts patient survival. We performed a retrospective cohort study. Patients underwent VP shunt and G-tube placement. Incidence of shunt infection and patient survival were calculated. Fifty-five patients qualified for the study. Shunt infection occurred in seven patients (12.5%). The incidence of shunt infection did not differ between surgically placed G-tubes (2/7=29%) and PEG tubes (5/7=71%; P=0.69). There was no difference in the risk of VP infection based on the order of placement (OR=0.61 [0.12–3.02]; P=0.69). No predictors for shunt infection were identified. Kaplan-Meier mortality estimates demonstrated a 21% 1-year mortality rate. There were no predictors of patient survival. We conclude that placement of G-tubes in patients with shunts is safe. The order of placement of G-tube and VP shunt does not affect the incidence of shunt infection or survival.

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Authors and Affiliations

  1. Section of Gastroenterology and Hepatology, University of Wisconsin-School of Medicine and Public Health, H6/516; 600 Highland Avenue, Madison, WI, 53792-5124, USA

    Brent E. Roeder, Adnan Said, Mark Reichelderfer & Deepak V. Gopal

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  1. Brent E. Roeder
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  2. Adnan Said
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  3. Mark Reichelderfer
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  4. Deepak V. Gopal
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Correspondence to Deepak V. Gopal.

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Roeder, B.E., Said, A., Reichelderfer, M. et al. Placement of Gastrostomy Tubes in Patients with Ventriculoperitoneal Shunts Does Not Result in Increased Incidence of Shunt Infection or Decreased Survival. Dig Dis Sci 52, 518–522 (2007). https://doi.org/10.1007/s10620-006-9311-1

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  • DOI: https://doi.org/10.1007/s10620-006-9311-1

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