Abstract
Nowadays, we sometimes have opportunities to treat the hydrocephalic patients with severe disabilities and/or poor outcomes. Percutaneous endoscopic gastrostomy (PEG) has been widely used for the patients with dysphagia and/or prolonged consciousness disturbances. There are many reports which revealed that infectious complications often occurred in the patients with VP shunt for hydrocephalus with PEG. We make an incision at unilataral lower quadrant area of the abdomen for peritoneal catheter insertion. The aim of this study is to prevent from shunt complications for the patients with enteral nutrition and planning PEG. From May 2008 to August 2010, 12 adult patients, four men and 8 women, 9 aneurysmal subarachnoid hemorrhage, 2 intracerebral hemorrhage and one idiopathic normal pressure hydrocephalus, were studied. All of them showed good recovery from hydrocephalic conditions. Only one patient had an abdominal shunt revision due to subcutaneous cyst formation. Two patients were died by pneumonia and accidental cerebral hemorrhage of Moyamoya disease. All patients showed no infectious complications, included 3 patients had PEG.
