Peroral extrusion of the peritoneal catheter in an infant

Gupta, Mahesh; Digra, Naseeb C; Sharma, Narendra Shriram; Goyal, Subhash; Agrawal, Amit

doi:10.4103/1947-2714.97214

Cited by 9 publications

(4 citation statements)

References 11 publications

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“…All the n = 46 manuscripts included for systematic review are full-text articles[ 17 - 62 ]. Thirty-five manuscripts described/detailed the isolated case[ 17 , 19 , 23 - 30 , 32 , 33 , 37 - 43 , 45 , 46 , 48 - 54 , 56 - 62 ]. Two of the manuscripts included in the review are original articles[ 35 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

“…The functional status of the VPS catheter was not mentioned/not provided in the literature reviewed for n = 22 of Group A and n = 11 of Group B cases[ 17 , 19 - 23 , 26 , 27 , 30 - 32 , 34 - 36 , 41 - 49 , 51 - 54 , 57 - 62 ]. The distal end of the VPS catheter was draining CSF, confirming that the VPS catheter was functioning well in n = 6 of Group A and n = 2 of Group B cases, respectively[ 18 , 24 , 25 , 29 , 37 , 39 , 50 , 55 ].…”

Section: Discussionmentioning

confidence: 99%

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Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without trans-oral extrusion: A systematic literature review and meta-analysis

Ghritlaharey

2023

World J Clin Pediatr

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BACKGROUND Intra-gastric migration of the distal ventriculoperitoneal shunt (VPS) catheter clinically presenting with or without trans-oral extrusion is one of the rare complications of VPS catheter insertion. AIM To identify the demographics, clinical presentation, clinical findings, and results of surgical therapy offered for the treatment of intra-gastric migration of the distal VPS catheter, clinically presented with or without trans-oral extrusion. METHODS An online search was performed for the extraction/retrieval of the published/ available literature pertaining to the above-mentioned VPS complication. Manuscripts were searched from PubMed, PMC (PubMed Central), ResearchGate, and Google Scholar databases using various terminology relating to the VPS complications. The first case of migration of a VPS catheter into the stomach was reported in the year 1980, and the data were retrieved from 1980 to December 2022. Cases were categorized into two groups; Group A: Cases who had migration of the distal VPS catheter into the stomach and clinically presented with trans-oral extrusion of the same, and Group B: Cases who had migration of the distal VPS catheter into the stomach, but presented without trans-oral extrusion. RESULTS A total of n = 46 cases (n = 27; 58.69% male, and n = 19; 41.3% females) were recruited for the systematic review. Group A included n = 32, and Group B n = 14 cases. Congenital hydrocephalus was the indication for the primary VPS insertion for approximately half of the (n = 22) cases. Approximately sixty percent (n = 27) of them were children ≤ 5 years of age at the time of the diagnosis of the complication mentioned above. In seventy-two percent (n = 33) cases, this complication was detected within 24 mo after the VPS insertion/last shunt revision. Clinical diagnosis was evident for the entire group A cases. Various diagnostic modalities were used to confirm the diagnosis for Group B cases. Various surgical procedures were offered for the management of the complication in n = 43 cases of both Groups. In two instances, intra-gastric migration of the distal VPS catheter was detected during the autopsy. This review documented four deaths. CONCLUSION Intra-gastric migration of the peritoneal end of a VPS catheter is one of the rare complications of VPS catheter implantation done for the treatment of hydrocephalus across all age groups. It was more frequently reported in children, although also reported in adults and older people. A very high degree of clinical suspicion is required for the diagnosis of a case of an intra-gastric migration of the distal VPS catheter clinically presenting without trans-oral extrusion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without trans-oral extrusion: A systematic literature review and meta-analysis

Ghritlaharey

2023

World J Clin Pediatr

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“…Several previous reports, recommendations for fasting after treatment vary greatly, mostly between 2 and 4 days. [ 1 9 10 13 16 21 ] In two cases, fasting lasted until 7 to 14 days. [ 5 18 ] All the literatures reported that no abdominal problems occurred posttreatment.…”

Section: Discussionmentioning

confidence: 99%

Upward migration and peroral extrusion of a peritoneal shunt catheter: Case report and review of the literature

et al. 2017

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Background:Various complications after ventriculoperitoneal (VP) shunt surgery have been reported, but peroral extrusion of peritoneal catheter is an extremely rare complication, and only 20 cases have been reported since 1987. The pathophysiology still remains unclear and the management is challenging.Case Description:A 5-year-old boy presented with a catheter coming out of his mouth. The boy had a posterior fossa tumor surgery and had VP shunt insertion 1 year earlier. Clinical signs and imaging studies showed that the distal end of the catheter had perforated the gaster and migrated upward and extruded through the mouth. Emergency removal of the shunt and proper treatment were done and he made uneventful recovery.Conclusion:Peroral extrusion of VP shunt is extremely rare. Clinicians should be aware of this complication. With early diagnosis and proper management, the prognosis for good recovery is excellent, with only two deaths being reported in the literature. Complication of shunt extrusion is difficult to avoid, but knowing the risk factors, pathophysiology and proper management will decrease the morbidity and mortality of such cases.

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“…chemical reactions occurs between the functional groups on the dye and adsorbent surfaces; then, low reversibility of adsorption occurs. Therefore, different surface characteristics would help to explain the reversibility of adsorption [47][48][49][50][51][52][53][54][55][56][57][58][59][60][61]. As the regenerated adsorbent illustrated satisfactory adsorption-desorption capability towards methyl orange dye, it can thus be reused as potential adsorbent for wastewater treatment.…”

Section: Desorption Of Dye and Reuse Of Adsorbentmentioning

confidence: 99%

Remediation and recovery of methyl orange from aqueous solution onto acrylic acid grafted Ficus carica fiber: Isotherms, kinetics and thermodynamics

Gupta

Pathania

Sharma

et al. 2013

Journal of Molecular Liquids

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Peroral extrusion of the peritoneal catheter in an infant

Cited by 9 publications

References 11 publications

Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without trans-oral extrusion: A systematic literature review and meta-analysis

Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without trans-oral extrusion: A systematic literature review and meta-analysis

Upward migration and peroral extrusion of a peritoneal shunt catheter: Case report and review of the literature

Remediation and recovery of methyl orange from aqueous solution onto acrylic acid grafted Ficus carica fiber: Isotherms, kinetics and thermodynamics

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