Shunt Dysfunction and Constipation: Could There Be a Link?

Bragg, Cheri L.; Edwards-Beckett, Joy; Eckle, Nancy; Principe, Karen; Terry, Debbie

doi:10.1097/01376517-199404000-00007

Cited by 12 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, signs and symptoms of ventriculo‐peritoneal shunt dysfunction may develop as a result of constipation. 3 Anatomical and muscle motility abnormalities such as megarectum or megacolon can arise as a result of chronic constipation. 4 …”

mentioning

confidence: 99%

Dietary fibre intake and constipation in children with severe developmental disabilities

Tse

Leung

Chan

et al. 2000

J Paediatrics Child Health

View full text Add to dashboard Cite

Very low daily intake of fibre of 2 g/day was documented. Relief of constipation and a significant reduction in the usage of laxatives was demonstrated by increasing fibre intake to 17 g/day (stage 1). Increasing fibre intake further to 21 g/day (stage 2), showed a further reduction in the use of laxatives. There was, however, no statistical significance between stage 1 and stage 2 of fibre supplementation. Alternative ways to further relieve constipation in severe DD children require further studies.

show abstract

mentioning

confidence: 99%

Dietary fibre intake and constipation in children with severe developmental disabilities

Tse

Leung

Chan

et al. 2000

J Paediatrics Child Health

View full text Add to dashboard Cite

show abstract

“…4 The first study to propose constipation as a possible factor for VPS dysfunction 4 was a case series of 19 patients with constipation and VPS malfunction symptoms. 6 In 6 of the 19 patients, bowel cleansing was performed and the shunt was not revised. However, these authors could not directly confirm the relationship between VPS malfunction and constipation.…”

Section: Discussionmentioning

confidence: 99%

Constipation as a Rare Cause of Ventriculoperitoneal Shunt Dysfunction: A Case Report

Mete

Selçukı

2019

J Pediatr Neurol

View full text Add to dashboard Cite

Ventriculoperitoneal shunt (VPS) insertion is a common neurosurgical procedure for the treatment of hydrocephalus. Constipation can play an important role in shunt failure either by mechanically blocking drainage from the peritoneal end of the VPS catheter or by increasing intra-abdominal pressure. The present report describes a 2-year-old boy with shunt-dependent hydrocephalus who presented with signs of shunt dysfunction. Medical history with detailed physical examination determined the constipation. Before shunt revision, a pediatric fleet enema was administered to possibly relieve the constipation and he had good evacuation of the bowel contents. Following the enema, his continuous crying resolved and ultimately disappeared within a few hours. Brain computed tomography scans performed 4 days later showed a reduction in ventricular size.

show abstract

“…A pressão intra-abdominal geralmente é negativa ou tende a zero cm de H 2 O 8 . Quando há um aumento dessa pressão, que pode ser causado pela constipação ou outros fatores, o funcionamento da válvula fica comprometido, cursando com uma sintomatologia que é muito semelhante à da constipação crônica, associado a sinais e sintomas de pressão intracraniana elevada 2,3 . Outra hipótese usada para explicar o mecanismo de disfunção valvular provocado pela constipação é o bloqueio mecânico dos orifícios de drenagem da extremidade distal do cateter 2,3 .…”

Section: Discussionunclassified

“…Quando há um aumento dessa pressão, que pode ser causado pela constipação ou outros fatores, o funcionamento da válvula fica comprometido, cursando com uma sintomatologia que é muito semelhante à da constipação crônica, associado a sinais e sintomas de pressão intracraniana elevada 2,3 . Outra hipótese usada para explicar o mecanismo de disfunção valvular provocado pela constipação é o bloqueio mecânico dos orifícios de drenagem da extremidade distal do cateter 2,3 . O aumento da pressão intra-abdominal também é usado para explicar o mau funcionamento valvular em pacientes grávidas portadoras de DVP 3,4 , nas quais a complicação se deve ao aumento do útero gravídico 4 .…”

Section: Discussionunclassified

Mau funcionamento valvular devido à constipação

Pereira¹,

Braz²,

Barreto³

2018

jbnc

View full text Add to dashboard Cite

SinopseO aumento da pressão intra-abdominal decorrente da constipação pode alterar o funcionamento valvular na derivação ventriculoperitoneal em paciente com hidrocefalia, causando sintomatologia de pressão intracraniana elevada. A constipação, associada ao mau funcionamento valvular, é pouco relatada na literatura médica. Os autores apresentam um caso de mau funcionamento valvular devido à constipação, cujo tratamento foi realizado mediante orientação dietética e com boa resolução do caso. Discutem sua fisiopatologia e conduta. Palavras-chaveConstipação, derivação ventriculoperitoneal, hidrocefalia. Abstract CSF shunt dysfunction secondary to constipationThe increase of the intra-abdominal pressure secondary to constipation can influence on the function of ventriculoperitoneal shunts in hidrocephalic patients, causing symptoms of increased intracranial pressure. Although constipation is a frequent pathology, it has not been often associated to shunt dysfunction, being rarely described in medical literature. The authors present a case of a three years-old child shunted after birth who developed years later signs of high intracranial pressure due to constipation and shunt malfunction. Dietary advice prompted resolution of bowel symptoms in five days, with disappearance of signs of high ICP.

show abstract

Shunt Dysfunction and Constipation: Could There Be a Link?

Cited by 12 publications

References 0 publications

Dietary fibre intake and constipation in children with severe developmental disabilities

Dietary fibre intake and constipation in children with severe developmental disabilities

Constipation as a Rare Cause of Ventriculoperitoneal Shunt Dysfunction: A Case Report

Mau funcionamento valvular devido à constipação

Contact Info

Product

Resources

About