Korean J Gastrointest Endosc.  2006 Apr;32(4):271-274.

A Case of Endoscopic Removal of Impacted Sengstaken-Blakemore Tube

Affiliations
  • 1Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea. soo@chonbuk.ac.kr

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.

Keyword

Sengstaken-Blakemore Tube; Impaction; Needle knife

MeSH Terms

Esophageal and Gastric Varices
Esophagogastric Junction
Gastric Balloon
Hemorrhage
Needles
Suction
Syringes
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