Use of Sengstaken-Blakemore tube to stop massive upper gastrointestinal bleeding from Dieulafoy's lesion in the lower oesophagus.
Massive upper gastrointestinal bleeding from Dieulafoy's lesion in the gastrointestinal tract is uncommon. The use of the Sengstaken-Blakemore tube in acute gastrointestinal bleeding has become less common since endoscopic sclerotherapy and banding procedures have become widely available. The successful use of a Sengstaken-Blakemore tube to control acute massive upper gastrointestinal bleeding from a Dieulafoy's lesion in the lower oesophagus in an elderly man with severe coronary artery disease and heart failure is described.
Ho
K M
KM
Department of Anaesthesia & Intensive Care, North Shore Hospital, Auckland, New Zealand.
D000208:Acute Disease; D000368:Aged; D004636:Emergency Service, Hospital; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000628:therapy*; D004945:Esophagoscopy / Q000379:methods; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000628:therapy*; D005773:Gastroscopy / Q000379:methods; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome