Korean J Gastrointest Endosc > Volume 40(4); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(4): 249-251.
절단된 Sengstaken-Blakemore 관 위풍선의 내시경적 제거 1예
고동훈ㆍ김창환ㆍ임창훈ㆍ이석주ㆍ김정아ㆍ김태호ㆍ한석원
가톨릭대학교 의과대학 내과학교실
A Case of Endoscopic Removal of a Broken off Gastric Balloon from a Sengstaken-Blakemore Tube
Dong Hoon Ko, M.D., Chang-Whan Kim, M.D., Chang Hoon Lim, M.D., Seok Ju Lee, M.D., Jung Ah Kim, M.D., Tae Ho Kim, M.D. and Sok Won Han, M.D.
Department of Internal Medicine, The Catholic University College of Medicine, Bucheon, Korea
Abstract
A Sengstaken-Blakemore (S-B) tube, when used approximately, still has a place in the management of acute variceal bleeding, and controls bleeding in 40∼90% of the cases. However its use is accompanied by number of complications such as esophageal ulcer, pulmonary aspiration, and malfunction of the tube, which requires replacement. We recently observed a very unusual complication: the remaining gastric balloon of a S-B tube was broken off in the fundus of stomach by the patient's traction. The gastric balloon was easily and safely removed using an endoscopic snare after deflating the gastric balloon with a needle puncture. (Korean J Gastrointest Endosc 2010;40:249-251)
Key Words: Sengstaken-Blakemore tube, Snare, Needle puncture
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