1985
DOI: 10.1016/0090-3019(85)90156-9
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Ventriculocholecystic shunt. A mortality report

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Cited by 33 publications
(18 citation statements)
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“…We were also unable to demonstrate any obvious reflux of saline or bile at the time of removal of the valve up to a pressure of 55 cm H 2 O. This is similar to Bernstein's [1] mortality report in that no reflux was demonstrated during the testing of the valve. Presumably some of the leak might have occurred postoperatively at the time of recovery from anesthesia, when the patient had bucking and coughing that may have generated transient high intra-abdominal pressure, causing the valve to fail.…”
Section: Discussionsupporting
confidence: 81%
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“…We were also unable to demonstrate any obvious reflux of saline or bile at the time of removal of the valve up to a pressure of 55 cm H 2 O. This is similar to Bernstein's [1] mortality report in that no reflux was demonstrated during the testing of the valve. Presumably some of the leak might have occurred postoperatively at the time of recovery from anesthesia, when the patient had bucking and coughing that may have generated transient high intra-abdominal pressure, causing the valve to fail.…”
Section: Discussionsupporting
confidence: 81%
“…Although these authors did not have any complications in their series, a mortality has previously been reported from a ventriculo-gallbladder shunt [1]. It is theorized that bile entered the intracranial compartment in this patient, which caused saponification and emulsification of the brain and fatal ventriculitis.…”
Section: Discussionmentioning
confidence: 74%
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“…Described VGBS-specific malfunctions include bilious reflux resulting in ventriculitis 2 or meningitis 1 and cholecystic complications including atony, biliary tract infection, and cholecystitis. 3,4 Bilious peritonitis due to intrabdominal catheter fracture is previously undescribed.…”
mentioning
confidence: 99%