Department of Gastroenterology, Beijing Bo'Ai Hospital, China Rehabilitation Research Center, Beijing, China.
School of Rehabilitation, Capital Medical University, Beijing, China.
Am Surg. 2024 Dec;90(12):3262-3266. doi: 10.1177/00031348241265147. Epub 2024 Jul 19.
To evaluate the safety study of percutaneous gastroscopic gastrostomy in patients after ventriculoperitoneal shunt.
We conducted a retrospective analysis of neurosurgical patients who underwent VPS and PEG at our hospital between January 2012 and November 2023. Patients were divided into 2 groups: VPS group and VPS followed by PEG gruop. Patients received routine antibiotic prophylaxis before the procedure, continued for 48 hours. Follow-up included monitoring immediate complications, particularly wound infection, intracranial infection, neurologic status deterioration, and shunt dysfunction. Routine follow-up visits were conducted post-discharge.
In the VPS group (n = 778), the incidence of intracranial infection was 3.08%. Among patients with PEG after VPS, the time interval between procedures ranged from 13 to 685 days. The mean follow-up period was 22 (1-77) months, with no deaths or further complications.
Performing PEG more than 13 days after VPS does not significantly increase the risk of intracranial infections or PEG-associated infections, making it a relatively safe procedure.
评估脑室-腹腔分流术后患者行经皮胃镜胃造瘘术的安全性研究。
我们对 2012 年 1 月至 2023 年 11 月在我院行 VPS 和 PEG 的神经外科患者进行了回顾性分析。患者分为 2 组：VPS 组和 VPS 后行 PEG 组。患者在术前接受常规抗生素预防，持续 48 小时。随访包括监测即刻并发症，特别是伤口感染、颅内感染、神经状态恶化和分流功能障碍。出院后进行常规随访。
在 VPS 组（n = 778）中，颅内感染的发生率为 3.08%。在 VPS 后行 PEG 的患者中，手术时间间隔为 13-685 天。平均随访时间为 22（1-77）个月，无死亡或进一步并发症。
VPS 后 13 天以上行 PEG 不会显著增加颅内感染或 PEG 相关感染的风险，是一种相对安全的操作。
