%0 Journal Article %T Acute Shunt Failure Due to Perforation of Ventriculoperitoneal Shunt Tubing during Percutaneous Gastrostomy %A Andrew C. Vivas %A Gerald F. Tuite %A Joseph K. Potthast %A Michael Wilsey %J Archive of "ACG Case Reports Journal". %D 2017 %R 10.14309/crj.2017.75 %X The placement of a percutaneous endoscopic gastrostomy (PEG) in a patient with a pre-existing ventriculoperitoneal shunt is generally regarded as safe. A critical but often overlooked technical consideration is confirmation of the course of the distal shunt tube prior to PEG insertion. We present the case of a 4-month-old male infant with shunted hydrocephalus who experienced shunt malfunction due to perforation of the distal shunt tubing after PEG placement %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449579/