Endoscopic Removal of Inflated Transected Sengstaken–Blakemore Tube Using Endoscopic Scissors
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Balloon tamponade using Sengstaken–Blakemore (SB) tube is employed as a bridging therapy in cases in which endoscopic therapy failsto control esophageal variceal bleeding. Although SB tube insertion can lead to successful hemostasis, it is accompanied by numerouscomplications, with SB tube transection being one of the rarest complications. A 53-year-old man with liver cirrhosis and hepatocellularcarcinoma presented with massive esophageal variceal bleeding. Therapeutic endoscopic variceal ligation failed, and SB tube wasinserted. The SB tube was unexpectedly disconnected because of the patient’s irritability due to hepatic encephalopathy. The esophagealand 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 apatient with hepatic encephalopathy and removed remnants of the inflated tube using endoscopic scissors.
Abstract
Balloon tamponade using Sengstaken–Blakemore (SB) tube is employed as a bridging therapy in cases in which endoscopic therapy failsto control esophageal variceal bleeding. Although SB tube insertion can lead to successful hemostasis, it is accompanied by numerouscomplications, with SB tube transection being one of the rarest complications. A 53-year-old man with liver cirrhosis and hepatocellularcarcinoma presented with massive esophageal variceal bleeding. Therapeutic endoscopic variceal ligation failed, and SB tube wasinserted. The SB tube was unexpectedly disconnected because of the patient’s irritability due to hepatic encephalopathy. The esophagealand 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 apatient with hepatic encephalopathy and removed remnants of the inflated tube using endoscopic scissors.
참고문헌 (13)
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