A Case of Endoscopic Removal of Impacted Sengstaken-Blakemore Tube.
- Author:
In Hee KIM
1
;
Kang Hun KOH
;
Seong Hun KIM
;
Sang Wook KIM
;
Seung Ok LEE
;
Soo Teik LEE
Author Information
1. Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea. soo@chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Sengstaken-Blakemore Tube;
Impaction;
Needle knife
- MeSH:
Esophageal and Gastric Varices;
Esophagogastric Junction;
Gastric Balloon;
Hemorrhage;
Needles;
Suction;
Syringes
- From:Korean Journal of Gastrointestinal Endoscopy
2006;32(4):271-274
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A Sengstaken-Blakemore (S-B) tube has been widely used to treatment of bleeding esophageal varices. It controls bleeding in 50~92% of cases and provide more time to plan future management. However, there are a number of complications with its use, some of which are lethal. We recently observed a very unusual complication of a S-B tube, namely an impaction of the gastric balloon at the gastroesophageal junction, which could not be deflated by removing the clamps and suctioning the air with a syringe. The gastric balloon was punctured endoscopically with needle knife and deflated. The S-B tube was then be easily removed.