Innovative Technique for Endoscopic Placement of Sengstaken-Blakemore Tube

Southern Medical Journal
Arleen M OrtizMarc J Zuckerman

Abstract

The Sengstaken-Blakemore (SB) tube is used in cases of uncontrolled variceal bleeding. Because of the complexity of the procedure and the lack of visualization, various techniques have been described to avoid blind placement. We report an innovative and simple technique for placement of the SB tube under direct endoscopic visualization. A grasp-and-place technique for endoscopic placement of SB tubes is described and a retrospective cohort study chart review of endoscopies done for variceal bleeding in our medical center is reported. All patients with uncontrolled variceal bleeding who required placement of an SB tube from July 1, 2013 through December 31, 2015 were included. The primary outcome analyses were technical success of tube placement and achievement of hemostasis. Of 143 endoscopies done for variceal bleeding, 10 were managed with SB tubes placed endoscopically after initial endoscopic therapy was unsuccessful. Successful placement of the tube was achieved in all of the patients. Hemostasis was achieved in 9 of the 10 patients. We propose a new grasp-and-place technique for endoscopic placement of SB tubes. Review of our experience shows that massive variceal bleeding can be managed effectively with this technique.

References

Jul 29, 2000·Journal of Clinical Gastroenterology·T C LinM E Powis
Mar 2, 2002·Journal of Clinical Gastroenterology·Chatargy S Kaza, Basil Rigas
Nov 26, 2003·The American Journal of Gastroenterology·Darius SorbiAlan R Zinsmeister
May 1, 1950·Annals of Surgery·R W SENGSTAKEN, A H BLAKEMORE
May 23, 2006·Emergency Medicine Journal : EMJ·A C-M LinC-F Chong
Sep 20, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Guadalupe Garcia-TsaoUNKNOWN Practice Parameters Committee of the American College of Gastroenterology
Feb 26, 2013·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Toby FoggCliff Reid
Apr 18, 2013·Clinical and Molecular Hepatology·Moon Young KimHyun Woong Lee
Jul 19, 2014·Gastrointestinal Endoscopy·Joo Ha HwangUNKNOWN American Society for Gastrointestinal Endoscopy
Apr 4, 2015·The Journal of Emergency Medicine·Adam B SchlichtingGina Hurst
Oct 28, 2016·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Guadalupe Garcia-TsaoJaime Bosch
Mar 3, 2017·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Elliot B TapperSameer Saini
Aug 25, 2017·Liver International : Official Journal of the International Association for the Study of the Liver·Elliot B TapperSameer D Saini

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Citations

Jan 26, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Zachary HenryWael Saad

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