Table 5.
Complications
| Complication | No dilations (%) | Type of dilation | Management |
|---|---|---|---|
|
| |||
| All Complications in 22 patients | 25/271 (9%) |
CARD 16 GW 8 B 1 |
|
|
| |||
| Increased length of hospital | 18/271 (6%) |
CARD 13 GW 5 |
|
|
| |||
| All Perforations | 11/271 (4%) |
CARD 7 GW 4 |
|
| Microperforations with no interventions | 7/271 (2.5%) | CARD 6 GW 1 |
7 patients i.v. Antibiotics, observation, serial CXR, 1 patient GT placement |
| Perforation requiring minor intervention (Pneumothorax and Pharyngocutaenous fistula) | 3/271 (1%) | CARD 1 GW 2 |
1 patient chest tube placement and Poly flex stent, 2 patients i.v. Antibiotics and wound packing |
| Perforation leading to significant adverse event Epidural abscess | 1/271 (0.4%) | GW 1 | 1 patient with spinal canal decompression |
|
| |||
| All GT site complications | 8/271 (3%) | CARD 8 | |
| Pneumoperitoneum | 5/271 (1.8%) | 5 patients with observation | |
| GT lost/replaced | 1/271 (0.4%) | 1 patient GT replaced at bedside | |
| Extravasation at GT site | 1/271 (0.4%) | 1 patient GT replaced in OR | |
| Abdominal wall cellulitis | 1/271 (0.4%) | 1 patient i.v. Antibiotics and observation | |
|
| |||
| Minor infections thrush, mucositis, cellulitis | 5/271 (1.8%) |
CARD 1 GW 3 B 1 |
2 patients Antimykotikum, 1 patient i.v. Antibiotics, 1 patient Salivary bypass tube removed and iv Antibiotics |
|
| |||
| Other medical, respiratory failure, intraoperative hypotension, diarrhea | 3/271 (1%) |
CARD 2 GW 1 |
1 patient requiring intubation, 1 patient with observation, 1 patient p.o. Antibiotics, |
GT- gastrostomy tube, CARD- combined ante-retrograde dilation, GW- guidewire, B-bougie dilator