%0 Review
%T Ventriculo-gallbladder shunt: case series and literature review.
%A Afornali S
%A Beraldo RF
%A Maeda AK
%A Mattozo CA
%A Brito RN
%A Ergen A
%A Pereira MC
%A Chaurasia B
%J Childs Nerv Syst
%V 40
%N 5
%D 2024 May 8
%M 38329505
%F 1.532
%R 10.1007/s00381-024-06297-9
%X <B>BACKGROUND: </B>The ventriculoperitoneal shunt (VPS) is the gold-standard surgical technique to treat hypertensive hydrocephalus; however, it may fail in 20 to 70% of cases. The present study shows an alternative for patients with contraindications to VPS.<BR><B>METHODS: </B>A case series of nine patients. The medical records of all patients under 17 years of age who underwent ventriculo-gallbladder (VGB) shunt at a pediatric hospital from January 2014 to October 2022 were reviewed.<BR><B>RESULTS: </B>There were 6 (66.7%) males and 3 (33.3%) females. The average age of 73.6 months or 6.1 years at the time of surgery. They had undergone, on average, 5.1 VPS reviews before the VGB shunt. Five (55.5%) had complications of VGB shunt: infection (11.1%), atony (11.1%), hypodrainage (11.1%), and ventriculoenteric fistula (22.2%); all these patients got better at surgical reapproach, and in two of them, the VGB shunt was re-implanted.<BR><B>CONCLUSIONS: </B>This case series shows a lower risk of death and a similar risk of complications compared to other alternative shunts. This article spotlighted VGB as a viable alternative when VPS fails or has contraindications.