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Modifying the Sengstaken-Blakemore tube to treat variceal bleeding.
Gastrointest Endosc
June 2024
Division of Gastroenterology and Hepatology, Dell Medical School, University of Texas Austin, Austin, Texas, USA.
The modified Sugiura procedure as bridge surgery for liver transplantation: a case report.
J Med Case Rep
March 2015
Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist., Taipei, 11490, Taiwan.
Introduction: Esophagogastric varices bleeding is a common complication due to portal hypertension in patients with liver cirrhosis. With the advancement of nonoperative management including vasoactive agents, endoscopic hemostasis or transjugular intrahepatic portosystemic shunt, surgical management has played a lesser role in recent decades. The present report describes a patient with hepatitis B (HBV)-related liver cirrhosis and portal vein thrombosis with recurrent esophagogastric varices bleeding despite the use of medical and endoscopic therapy.
View Article and Find Full Text PDFInferolateral ST-segment elevation associated with a gastric variceal bleed and the use of a Minnesota tube.
BMJ Case Rep
January 2014
Department of Critical Care, Royal Infirmary of Edinburgh, Edinburgh, UK.
The use of Minnesota and modified Sengstaken-Blakemore tubes for balloon tamponade in acute variceal haemorrhage has declined with the availability of modern endoscopic techniques. However, in massive uncontrolled haemorrhage their use may still be required. They are very effective in controlling acute bleeding, but are associated with a range of potentially serious complications.
View Article and Find Full Text PDFSclerotherapy on liver cirrhosis with esophageal variceal bleeding: eight years of experience.
Zhonghua Yi Xue Za Zhi (Taipei)
November 1994
Department of Internal Medicine, Chung Shan Medical and Dental College Hospital, Taichung, Taiwan, R.O.C.
Background: Patients with liver cirrhosis usually die of hepatic failure and variceal bleeding. Successful treatment of the latter can reduce mortality. Sclerotherapy is one method often used.
View Article and Find Full Text PDFEsophageal tamponade in the management of acute variceal hemorrhage.
Dig Dis Sci
June 1989
University Department of Surgery, Royal Infirmary, Edinburgh, Scotland, United Kingdom.
Over a seven-year period, 138 patients with portal hypertension presented on 223 occasions with endoscopically proven acute variceal hemorrhage. Hemorrhage ceased spontaneously on 92 occasions (41%). On 126 occasions (57%) passage of the four-lumen modification of the Sengstaken-Blakemore tube was required, and hemorrhage was successfully controlled in 98%.
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