Endoscopic Removal of Inflated Transected Sengstaken-Blakemore Tube Using Endoscopic Scissors

Clinical Endoscopy
Jun Ho LeeYoung Seok Kim

Abstract

Balloon tamponade using Sengstaken-Blakemore (SB) tube is employed as a bridging therapy in cases in which endoscopic therapy fails to control esophageal variceal bleeding. Although SB tube insertion can lead to successful hemostasis, it is accompanied by numerous complications, with SB tube transection being one of the rarest complications. A 53-year-old man with liver cirrhosis and hepatocellular carcinoma presented with massive esophageal variceal bleeding. Therapeutic endoscopic variceal ligation failed, and SB tube was inserted. The SB tube was unexpectedly disconnected because of the patient's irritability due to hepatic encephalopathy. The esophageal and gastric balloon of the SB tube remained inflated in the stomach. Whereas the use of other endoscopic instruments was ineffective, endoscopic removal was successfully accomplished using endoscopic scissors. In conclusion, we detected SB tube transection in a patient with hepatic encephalopathy and removed remnants of the inflated tube using endoscopic scissors.

References

Jan 1, 1989·Surgical Endoscopy·D K BhasinR Singh
Apr 28, 2006·Yonsei Medical Journal·Jae-Min LeeEun-Sung Kim
Mar 5, 2010·The New England Journal of Medicine·Guadalupe Garcia-Tsao, Jaime Bosch
Oct 22, 2010·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Jung Min LeeHyung Seop Kim
Dec 18, 2013·Endoscopy·Bruno M GonçalvesCarla Rolanda
Aug 19, 2014·Clinical Endoscopy·Young Dae Kim
Nov 26, 2015·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Àngels EscorsellUNKNOWN Variceal Bleeding Study Group
Oct 28, 2016·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Guadalupe Garcia-TsaoJaime Bosch

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BETA
biopsy
sedation

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