Document Detail


Efficacy of balloon tamponade in treatment of bleeding gastric and esophageal varices. Results in 151 consecutive episodes.
MedLine Citation:
PMID:  3280273     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The efficacy and complications of esophageal tamponade as the first procedure in the routine management of acute variceal hemorrhage were evaluated in 151 consecutive bleeding episodes treated at a specialized unit. The Sengstaken-Blakemore tube was employed in the 118 cases in which emergency endoscopy demonstrated bleeding esophageal varices, and the Linton-Nachlas balloon in the 33 cases with bleeding from gastric varices. Hemostasis lasting at least 24 hr was obtained in 91.5% of cases treated with the Sengstaken-Blakemore balloon and in 88% of those treated with the Linton-Nachlas balloon. Permanent hemostasis was obtained in 47.7% of all cases. The only severe complication noted in these 151 episodes of bleeding treated by tamponade was pulmonary aspiration, which was detected in 10% of cases. This complication was related to the presence and degree of encephalopathy (P less than 0.001) and was prevented by orotracheal intubation prior to tamponade. These results indicate that balloon tamponade continues to be a reliable and valuable method to arrest bleeding from esophagogastric varices.
Authors:
J Panés; J Terés; J Bosch; J Rodés
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  33     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-04-26     Completed Date:  1988-04-26     Revised Date:  2010-12-01    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  454-9     Citation Subset:  AIM; IM    
Affiliation:
Liver Unit, Hospital Clínic i Provincial, Medical School, Barcelona, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Balloon Dilation* / adverse effects,  instrumentation
Balloon Occlusion*
Esophageal and Gastric Varices / therapy*
Evaluation Studies as Topic
Female
Gastrointestinal Hemorrhage / therapy*
Hemostatic Techniques* / adverse effects,  instrumentation
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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