감입된 Sengstaken-Blakemore관을 내시경으로 제거한 1예 |
김인희·고강훈·김성훈·김상욱·이승옥·이수택 |
전북대학교 의과대학 내과학교실 |
A Case of Endoscopic Removal of Impacted Sengstaken-Blakemore Tube |
In Hee Kim, M.D., Kang Hun Koh, M.D., Seong Hun Kim, M.D., Sang Wook Kim, M.D., Seung Ok Lee, M.D. and Soo Teik Lee, M.D. |
Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea |
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Abstract |
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A Sengstaken-Blakemore (S-B) tube has been widely used to treatment of bleeding esophageal varices. It controls bleeding in 50∼92% of cases and provide more time to plan future management. However, there are a number of complications with its use, some of which are lethal. We recently observed a very unusual complication of a S-B tube, namely an impaction of the gastric balloon at the gastroesophageal junction, which could not be deflated by removing the clamps and suctioning the air with a syringe. The gastric balloon was punctured endoscopically with needle knife and deflated. The S-B tube was then be easily removed. (Korean J Gastrointest Endosc 2006;32:271274) |
Key Words:
Sengstaken-Blakemore Tube, Impaction, Needle knife |
주요어:
Sengstaken-Blakemore관, 감입, 식도위정맥류 |
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