Skip to main content

How to Perform a Ventriculo-gallbladder CSF Shunt

  • Reference work entry
  • First Online:
Textbook of Pediatric Neurosurgery

Abstract

The ventriculo-gallbladder shunt (VGBS) is a promising alternative when the peritoneal cavity is no longer available. In general, the gallbladder (GB) has been an option when other more commonly absorbing area have been depleted by complications. The most common reason for VGBS placement has been shunt failure related to infection, at the peritoneum or atrium, and most of the patients experienced a mean of 3,6 shunt procedure before VGBS placement, and in many circumstances seems to be the last resort (Girotti et al. 2009; Polo et al. 2010; Sepúlveda Martínez et al. 2012; Weiner et al. 2011; West et al. 1987).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 949.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aldana PR, James HE, Postlethwait R (2008) Ventriculogallbladder shunts in pediatric patients. J Neurosurg Pediatr 1:284–287

    Article  Google Scholar 

  • Banfield WJ (1975) Physiology of the gallbladder. Gastroenterology 69:770–777

    Article  CAS  Google Scholar 

  • Barami K, Sood S, Ham S, Canady A (1998) Chemical meningitis from bile reflux in a lumbar-gallbladder shunt. Pediatr Neurosurg 29:328–330

    Article  CAS  Google Scholar 

  • Bernstein RA, Hsueh W (1985) Ventriculo cholecystic shunt. A mortality report. Surg Neurol 23:31–37

    Article  CAS  Google Scholar 

  • Csendes A, Fernandez M, Uribe P (1975) Bacteriology of the gallbladder bile in normal subjects. Am J Surg 129:629–631

    Article  CAS  Google Scholar 

  • Fountas KN, Kassam MA, Grigorian AA (2007) A rare, delayed complication of a ventriculogallbladder shunt. Case report andreview of the literature. Neurosurg Focus 22:E12

    Article  Google Scholar 

  • Frim DM, Lathrop D, Chwals WJ (2001) Intraventricular pressure dynamics in ventriculo cholecystic shunt: a telemetric study. Pediatr Neurosurg 34:73–76

    Article  CAS  Google Scholar 

  • Girotti ME, Singh RR, Rodgers BM (2009) The ventriculo-gallblader shunt in the treatment of refractory hydrocephalus: a review of the current literature. Am Surg 75:734–737

    PubMed  Google Scholar 

  • Hasslacher-Arellano JF, Arellano-Aquilar G, Funes-Rodrigues JF, Lopes-Forcen S, Zapian T, Dominguez-Carrillo LG (2016) Ventriculo-gallblader shunt: an alternative for the treatment of hydrocephalus. Cir Cir 116:225–229

    Google Scholar 

  • Ikeda T, Yanaga K, Kusne S, Fung J, Higashi H, Starzi TE (1990) Sterility of bile in multiple-organ donors. Transplantation 49:653

    Article  CAS  Google Scholar 

  • Ketoff JA, Klein RL, Maukkassa KF (1997) Ventricular cholecystic shunts in children. J Pediatr Surg 32:181–183

    Article  CAS  Google Scholar 

  • Novelli PM, Reigel DH (1997) A closer look at the ventrículo-gallblader shunt for the treatment of hydrocephalus. Pediatr Neurosurg 26:197–199

    Article  CAS  Google Scholar 

  • Olavarria G, Reitman AJ, Goldman S, Tomita T (2005) Post-shunt ascites in infants with optic chiasmal hypothalamic astrocytoma: role of ventricular gallbladder shunt. Childs Nerv Syst 21:382–384

    Article  Google Scholar 

  • Pal K, Jindal V (2007) Ventriculo cholecystic shunt in the management of hydrocephalus. Indian Pediatr 44:435–437

    PubMed  Google Scholar 

  • Polo VJ, Usuaga AH, Espana PJ, Cortes SE, Díaz CF, Orozco LJ, Posada RID (2010) Derivación ventrículo-vesicular: una alternativa para el tratamiento de la hidrocefalia. Reporte de casos y revisión de la literatura. Neurocien Colom 17:76–83

    Google Scholar 

  • Rivero-Garvia M, Pancucci G, Morcillo J, Millan A, Marquez-Rivas J (2015) Ventriculobiliary shunts, another option. Pediatr Neurosurg 50:152–156

    Article  Google Scholar 

  • Sepúlveda Martínez V, Saitua Doren F, Marengo Olivares J (2012) Deri-vación ventrículo vesicular como tratamiento de disfunción valvular recurrente. Rev Ped Elec 9:144

    Google Scholar 

  • Smith GW, Moretz WH, Pritchard WL (1958) Ventriculo-biliary shunt: a new treatment for hydrocephalus. Surg Forum 9:701–705

    CAS  PubMed  Google Scholar 

  • Striengel G, Turner M, Crase T (1993) Ventriculo-gallblader shunts in children. Childs Nerv Syst 9:331–333

    Article  Google Scholar 

  • Suell MN, Horton TI, Dishop MK, Olutoye OO, Mueller BU (2004) Outcomes for children with gallbladder abnormalities and sickle cell disease. J Pediatr 145:617–621

    Article  Google Scholar 

  • Surfield GA, Klein RL (2006) Case report of symptomatic cholelithiasis after ventricular cholecystic shunt. J Pediatr Surg 41:1933–1934

    Article  Google Scholar 

  • Weiner GM, Bui CJ, Steele RW (2011) An infant with an MRSA ventriculo-gallblader shunt infection. Clin Pediatr 50:169–171

    Article  Google Scholar 

  • West KW, Turner MK, Vane DW, Boaz J, Kalsbeck J, Grosfeld JL (1987) Ventricular gallbladder shunts: an alternative procedure in hydrocephalus. J Pediatr Surg 22:609–612

    Article  CAS  Google Scholar 

  • Westacott S, Mahraj R (1994) Anatomy and imaging of the normal gallbladder. In: Meilstrup W (ed) Imaging atlas of the normal gallbladder and its variants. CRC Press, Boca Raton, Chapter 2. pp 3–12

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hamilton Matushita .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Matushita, H. (2020). How to Perform a Ventriculo-gallbladder CSF Shunt. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72168-2_153

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-72168-2_153

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72167-5

  • Online ISBN: 978-3-319-72168-2

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics