Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without trans-oral extrusion: A systematic literature review and meta-analysis

doi:10.5409/wjcp.v12.i5.331

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World Journal of Clinical Pediatrics

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2219-2808

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Pediatr. Dec 9, 2023; 12(5): 331-349
Published online Dec 9, 2023. doi: 10.5409/wjcp.v12.i5.331

Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without trans-oral extrusion: A systematic literature review and meta-analysis

Rajendra Kumar Ghritlaharey

Rajendra Kumar Ghritlaharey, Department of Paediatric Surgery, Gandhi Medical College and Associated, Kamla Nehru and Hamidia Hospitals, Bhopal 462001, Madhya Pradesh, India

Author contributions: All authors have read and approved the final, revised manuscript.

Conflict-of-interest statement: All the authors declare that they have no conflict of interest.

PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009/2021 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

Corresponding author: Rajendra Kumar Ghritlaharey, MBBS, MS, MCh, Professor, Department of Paediatric Surgery, Gandhi Medical College and Associated, Kamla Nehru and Hamidia Hospitals, Royal Market, Bhopal 462001, Madhya Pradesh, India. drrajendrak1@rediffmail.com

Received: June 25, 2023
Peer-review started: June 25, 2023
First decision: August 17, 2023
Revised: September 4, 2023
Accepted: October 30, 2023
Article in press: October 30, 2023
Published online: December 9, 2023
Processing time: 165 Days and 17.9 Hours

Core Tip

Core Tip: This systematic review included n = 46 cases of intra-gastric migration of the peritoneal end of a ventriculoperitoneal shunt (VPS) catheter. Thirty-two cases clinically presented with the peroral extrusion of the distal VPS catheter. The remaining n = 14 cases clinically presented with other symptoms but without peroral extrusion of the distal VPS catheter. Sixty percent were children ≤ 5 years of age at the time of diagnosis of VPS complication mentioned above. In more than two-thirds of cases, the VPS complication was evident within 24 mo after the primary VPS insertion/last VPS revision. The demographics, indications for the primary/initial VPS insertion, age distribution at the time of VPS insertion and diagnosis of the VPS complication, the interval, and the surgical procedures carried out by the various authors for the above-described VPS complication are described in the manuscript.