Can a patient with hydrocephaly and ventriculoperitoneal shunt be a a candidate for peritoneal dialysis?

No unfortunately as peritonitis will lead to the infection involving the CNS

Yes, patients with ventriculoperitoneal (VP) shunts can be considered candidates for peritoneal dialysis (PD), though individualized assessment is essential. Evidence from the International Pediatric Peritoneal Dialysis Network survey demonstrated comparable peritonitis rates between children with VP shunts receiving PD and those without shunts, with no documented cases of ascending shunt infections attributable to PD (1). A global survey of nephrologists further confirmed that a VP shunt is not universally considered a contraindication to PD (2). While theoretical concerns exist regarding infection risks, current evidence suggests a VP shunt should not automatically disqualify a patient from receiving peritoneal dialysis. The decision should involve multidisciplinary consultation between nephrology and neurosurgery teams, considering individual patient factors and clinical status.
References
1. Dolan NM, Borzych-Duzalka D, Suarez A, Principi I, Hernandez O, Al-Akash S, et al. Ventriculoperitoneal shunts in children on peritoneal dialysis: a survey of the International Pediatric Peritoneal Dialysis Network. Pediatr Nephrol (Berlin, Germany). 2013 Feb;28(2):315-9.
2. Shah N, Bennett PN, Cho Y, Leibowitz S, Abra G, Kanjanabuch T, et al. Exploring Preconceptions as Barriers to Peritoneal Dialysis Eligibility: A Global Scenario-Based Survey of Kidney Care Physicians. Kidney Int Rep. 2024 Apr;9(4):941-950.