Using Sengstaken-Blakemore tube as assist treatment of escophageal and gastric variceal bleeding under emergency endoscopy
10.3969/j.issn.1007-1989.2016.08.013
- VernacularTitle:三腔二囊管辅助急诊内镜下治疗食管胃底静脉曲张破裂出血的临床研究
- Author:
Fei YAO
;
Rong WAN
;
Kai LI
- Keywords:
escophageal and gastric variceal bleeding;
Sengstaken-Blakemore tube;
endoscopic cyanoacrylate injection;
endoscopic injection sclerotherapy;
endoscopic variceal ligation
- From:
China Journal of Endoscopy
2016;22(8):57-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of Sengstaken-Blakemore tube in assisting cyanoacrylate injection combined with sclerotherapy and variceal ligation under emergency endoscopy in treating escophageal and gastric variceal bleeding. Methods 60 patients were randomly selected, and were evenly divided into 2 groups single blindly. Endoscopic cyanoacrylate injection, sclerotherapy and variceal ligation were performed in control group, and additional Sengstaken-Blakemore tube were used in experimental group. Results All the 30 patients in study group got effective hemostasis (30 of 30, 100.00 %), whereas only 23 patients in control groups stopped bleeding (23 of 30, 76.67 %) (P < 0.05). escophageal and gastric variceal were cured 19 patients in the experimental group (19 of 30, 63.33 %) , and only 4 were cured in the control group (4 of 28, 14.28 %) (P < 0.05). Meanwhile, occurence of fever, chest pain, hospital days and hospitalization costs of experimental group was significantly lower than that in control group (P < 0.05). Conclusions Treating the escophageal and gastric variceal bleeding, using endoscopic cyanoacrylate injection, sclerotherapy; and variceal ligation under emergency endoscopy combined with Sengstaken-Blakemore tube could significantly increase the therapeutic efficiency as well as reduce complications and therapy cost.
