1Rawan Abdullah Alharbi, 1Mohammad Arabi, 1Khalid Ahmed Almasar

1King Abdulaziz Medical City, Ministry of National Guard-Health Affairs., Riyadh, Saudi Arabia

Background:

This research attempts to retrospectively assess the safety of percutaneous image-guided gastrostomy tube in patients with VP shunts.

Material(s) and Method(s):

This is a retrospective study of adult and pediatric patients with VP shunts who underwent gastrostomy tube placement in KAMC, Riyadh since 2008- till present.

Data will be retrieved from the Radiology Information System and Hospital electronic medical records.

Result(s):

During this period, percutaneous image-guided gastrostomy tube inserted in patients with VP shunts was identified in 27 patients (13 male, 14 female).

Their age ranged from 1 to 84 years.

Gastropexy was used in 4 patients during insertion of the gastrostomy tube.

The distance was estimated between the VP shunt tip and the gastrostomy tube ranged from (2.6 – 20 cm)

Complications were observed in 4 patients (the first patient had extra-axial collection 3 months after insertion the gastrostomy, the second one had peritoneal hematoma and migration of VP shunt 5 years after insertion the gastrostomy, the third patient infected ascites few months after insertion the gastrostomy), all these complications are most likely not related to  Gastrostomy procedure.

Conclusion(s):

Placement of percutaneous image guided gastrostomy tube in patients with VP shunts is feasible and safe.