Korean J Gastrointest Endosc > Volume 32(4); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(4): 271-274.
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
Abstract
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;32:271⁣274)
Key Words: Sengstaken-Blakemore Tube, Impaction, Needle knife
주요어: Sengstaken-Blakemore관, 감입, 식도위정맥류
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