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The use of the tube was originally described in 1950, [1] although similar approaches to bleeding varices were described by Westphal in 1930. [2] With the advent of modern endoscopic techniques which can rapidly and definitively control variceal bleeding, Sengstaken–Blakemore tubes are rarely used at present. [3]
Minnesota four-lumen tube, with esophageal and gastric balloons, and esophageal and gastric aspirates. Balloon tamponade is considered a bridge to more definitive treatment modalities, and is usually administered in the emergency department or in the intensive-care unit setting, due to the illness of patients and the complications of the procedure.
If bleeding continues then balloon tamponade with a Sengstaken-Blakemore tube or Minnesota tube may be used in an attempt to mechanically compress the varices. [21] This may then be followed by a transjugular intrahepatic portosystemic shunt. [21]
Inflating a Sengstaken–Blakemore tube in the uterus successfully treats atonic postpartum hemorrhage refractory to medical management in approximately 80% of cases. [44] Such procedure is relatively simple, inexpensive and has low surgical morbidity. [44]
A separate complication that may occur includes a misplaced intubation. Specifically, if the measured length of the NG tube is too long, the tube may coil in the stomach, causing the tip of the tube to be in the esophagus or the duodenum. On the other hand, if the tube is measured too short, the tip of the NG tube may only reach the esophagus.
This procedure is performed when intra-abdominal bleeding (hemoperitoneum), usually secondary to trauma, is suspected. [2]In a hemodynamically unstable patient with high-risk mechanism of injury, peritoneal lavage is a means of rapidly diagnosing intra-abdominal injury requiring laparotomy, but has largely been replaced in trauma care by the use of a focused assessment with sonography for ...
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Billroth I, more formally Billroth's operation I, is an operation in which the pylorus is removed and the distal stomach is anastomosed directly to the duodenum. [1] [2]The operation is most closely associated with Theodor Billroth, but was first described by Polish surgeon Ludwik Rydygier.