{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T08:28:49Z","timestamp":1773736129843,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2005,11,1]],"date-time":"2005-11-01T00:00:00Z","timestamp":1130803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2005,11]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> Because the insertion of percutaneous endoscopic gastrostomy tubes (PEG) involves disruption of the gastrointestinal tract with potential peritoneal contamination, patients with indwelling ventriculoperitoneal (VP) shunts could be at increased risk of meningitis, a potentially devastating infection. The safety of PEG placement in the presence of a VP shunt is unclear. <jats:italic>Methods:<\/jats:italic> A retrospective chart review was performed that included all adult patients with existing VP shunts requiring PEG placement at a single university medical center over an approximate 9\u2010year period from July 1995 to March 2004. <jats:italic>Results:<\/jats:italic> Thirty\u2010nine patients who underwent PEG placement 2\u2013564 days after shunt placement were identified. Two patients (5%) subsequently developed meningitis. Cerebrospinal fluid cultures demonstrated <jats:italic>Staphylococcus aureus<\/jats:italic> and <jats:italic>Enterococcus faecalis<\/jats:italic>. These infections occurred 2 and 15 months after PEG placement, respectively. At the time of PEG placement, 17 patients (44%) were receiving antibiotics for reasons other than operative prophylaxis, and 11 patients (28%) received prophylactic antibiotics. Both infected patients had received antibiotics at the time of PEG placement. <jats:italic>Conclusions:<\/jats:italic> These data constitute the largest series of patients with existing VP shunts undergoing PEG placement reported to date. When compared with the published 2%\u20135% infection rate for patients with VP shunts alone, our data do not suggest an increased risk of infection for patients after PEG placement. As the total number of adult patients requiring a PEG after VP shunt placement is low, multicenter studies should be carried out to better stratify this risk.<\/jats:p>","DOI":"10.1177\/0148607105029006442","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:51:26Z","timestamp":1210794686000},"page":"442-444","source":"Crossref","is-referenced-by-count":31,"title":["The Safety of Percutaneous Endoscopic Gastrostomy Tube Placement in Patients With Existing Ventriculoperitoneal Shunts"],"prefix":"10.1002","volume":"29","author":[{"given":"Alison","family":"Saalwachter Schulman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert G.","family":"Sawyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(80)80296-X"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198805000-00014"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(85)80017-9"},{"key":"e_1_2_5_5_1","first-page":"202","article-title":"Percutaneous endoscopic gastrostomy following ventriculoperitoneal shunting for increased intracranial pressure: preliminary report","volume":"34","author":"Cantor M","year":"1988","journal-title":"Gastrointest Endosc."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(04)00004-5"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199306000-00008"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0007-1323.2001.01773.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002470050401"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(88)90053-3"},{"key":"e_1_2_5_11_1","doi-asserted-by":"crossref","first-page":"44","DOI":"10.7883\/yoken.JJID.2004.44","article-title":"Infections of cerebrospinal fluid shunts: causative pathogens, clinical features, and outcomes","volume":"57","author":"Wang KW","year":"2004","journal-title":"Jpn J Infect Dis."},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01812278"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01541786"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(96)90022-X"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05830.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2036.2003.01684.x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1998.tb02079.x"},{"key":"e_1_2_5_18_1","first-page":"351","article-title":"Complications of percutaneous endoscopic gastrostomy","volume":"163","author":"Petersen TI","year":"1997","journal-title":"Eur J Surg."},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2000.03283.x"},{"key":"e_1_2_5_20_1","first-page":"2301","article-title":"Antibiotic prophylaxis in percutaneous endoscopic gastrostomy","volume":"91","author":"Sturgis TM","year":"1996","journal-title":"Am J Gastroenterol."},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1128\/jb.46.1.39-56.1943"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/00912709922008506"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0148607105029006442","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0148607105029006442","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0148607105029006442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:16:08Z","timestamp":1760876168000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607105029006442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,11]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2005,11]]}},"alternative-id":["10.1177\/0148607105029006442"],"URL":"https:\/\/doi.org\/10.1177\/0148607105029006442","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,11]]}}}