Surgical Endoscopy

, Volume 3, Issue 1, pp 54–55 | Cite as

Endoscopic removal of impacted Sengstaken-Blakemore tube

  • Deepak Kumar Bhasin
  • Shaukat Ali Zargar
  • Manojit Mandal
  • Mahesh Goenka
  • Rajoo Singh
Case Reports


In developing countries, the Sengstaken-Blakemore tube (SB tube) is one of the common treatment modalities for controlling hemorrhages from bleeding esophageal varices. Its use is accompanied by numerous complications. An unusual complication is impaction of a SB tube and its endoscopic removal is described.

Key words

Sengstaken-Blakemore tube Variceal bleeding Portal hypertension 


  1. 1.
    Bauer JJ, Kreel J, Kark E (1974) The use of Sengstaken-Blakemore tube for immediate control of bleeding esophageal varices. Ann Surg 179: 272–277Google Scholar
  2. 2.
    Bennet HD, Baker L, Baker LA (1952) Complications in the use of esophageal compression balloons (Sengstaken tube). AMA Arch Intern Med 90: 196–200Google Scholar
  3. 3.
    Bouchier IAD (1963) Impaction of Sengstaken-Blakemore tube. Gastroenterology 45: 274–278Google Scholar
  4. 4.
    Burcharth F, Malmstrom J (1976) Experiences with the Linton-Nachlas and Sengstaken-Blakemore tubes for bleeding esophageal varices. Surg Gynecol Obstet 142: 529–531Google Scholar
  5. 5.
    Chojkier M, Conn HO (1980) Esophageal tamponade in the treatment of bleeding varices. A decadal [sic] progress report. Dig Dis Sci 25: 267–272Google Scholar
  6. 6.
    Chojkier M, Groszmann RJ, Attenbury CE, Bar-Meir S, Blei AT, Frankel J, Glickman MG, Kniaz JL, Schade R, Taggart GJ, Conn HO (1979) A controlled comparison of continuous intraarterial and intravenous infusion of vasopressin in hemorrhage from esophageal varices. Gastroenterology 77: 540–546Google Scholar
  7. 7.
    Conn HO (1958) Hazards attending the use of esophageal tamponade. N Engl J Med 159: 701–707Google Scholar
  8. 8.
    Conn HO, Simpson JA (1967) Excessive mortality associated with balloon tamponade of bleeding varices. JAMA 202: 587–591Google Scholar
  9. 9.
    Gossat D, Bolin TD (1985) An unusual complication of balloon tamponade in the treatment of esophageal varices: a case report and brief review of literature. Am J Gastroenterol 80: 600–601Google Scholar
  10. 10.
    Hermann RE, Traul D (1970) Experience with the Sengstaken-Blakemore tube for bleeding esophageal varices. Surg Gynecol Obstet 130: 879–885Google Scholar
  11. 11.
    Johansen TS, Baden H (1973) Re-appraisal of Sengstaken-Blakemore balloon tamponade for bleeding esophageal varices: result in 91 patients. Scand J Gastroenterol 8: 181–183Google Scholar
  12. 12.
    Lunderqvist A, Vang J (1974) Transhepatic catheterization and obliteration of coronary veins in patients with portal hypertension and esophageal varices. N Engl J Med 261: 646–649Google Scholar
  13. 13.
    Mitchell K, Silk DBA, Williams R (1980) Prospective comparison of two Sengstaken tubes in the management of patients with variceal hemorrhage. Gut 21: 570–573Google Scholar
  14. 14.
    Orloff MJ, Bell RH, Hyde PV, Skivolocki WP (1980) Long term result of emergency portocaval shunt for bleeding esophageal varices in unselected patients with alcoholic cirrhosis. Ann Surg 192: 325–340Google Scholar
  15. 15.
    Paquet KJ, Oberhammer E (1978) Sclerotherapy of bleeding esophageal varices by means of endoscopy. Endoscopy 10: 7–12Google Scholar
  16. 16.
    Pitcher JL (1971) Safety and effectiveness of the modified Sengstaken-Blakemore tube. A prospective study. Gastroenterology 61: 291–298Google Scholar
  17. 17.
    Pugh RNH, Murray Lyon IM, Dawson JL, Pietront MC, Williams R (1973) Transection of esophagus for bleeding esophageal varices. Br J Surg 60: 646–649Google Scholar
  18. 18.
    Read AE, Dawson AM, Kerr DNS, Turner MD, Sherlock S (1960) Bleeding esophageal varices treated by esophageal compression tube. Br Med J I: 227–231Google Scholar
  19. 19.
    Rowntrec LG, Zimmermann EF, Todd MH, Ajac J (1947) Intraesophageal venous tamponade. Its use in case of variceal hemorrhage from the esophagus. JAMA 135: 630–631Google Scholar
  20. 20.
    Sarin SK, Nundy S (1984) Balloon tamponade in the management of bleeding esophageal varices. Ann R Coll Surg Engl 66: 30–32Google Scholar
  21. 21.
    Sengstaken RW, Blakemore AH (1950) Balloon tamponade for the control of hemorrhage from esophageal varices. Am Surg 131: 781–789Google Scholar
  22. 22.
    Teres J, Cecilia A, Bordas JM, Rimola A, Bru C, Rodes J (1978) Esophageal tamponade for bleeding varices. Controlled trial between the Sengstaken-Blakemore tube and Linton-Nachlas tube. Gastroenterology 75: 566–569Google Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • Deepak Kumar Bhasin
    • 1
  • Shaukat Ali Zargar
    • 1
  • Manojit Mandal
    • 1
  • Mahesh Goenka
    • 1
  • Rajoo Singh
    • 1
  1. 1.Department of GastroenterologyPostgraduate Institute of Medical Education and ResearchChandigarhIndia

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