Balloon Tamponade for Variceal Hemorrhage
Variceal hemorrhage remains a major cause of mortality in those with portal hypertension. Varices can occur in the esophagus, usually distally, or stomach, usually in the fundus.
Endoscopy with hemostasis technique is the mainstay treatment for esophageal variceal bleeding, while portosystemic shunt placement is the treatment for gastric variceal bleeding. However, these procedures require resuscitation and strategic planning prior to initiation.
Balloon tamponade remains a useful technique in temporarily arresting hemorrhage until more definitive treatment can be pursued.