Balloon Tamponade for the Management of Gastrointestinal Bleeding.
Linton–Nachlas tube
Minnesota tube
Sengstaken–Blakemore tube
balloon tamponade
esophageal varices
gastrointestinal bleeding
Journal
The Journal of emergency medicine
ISSN: 0736-4679
Titre abrégé: J Emerg Med
Pays: United States
ID NLM: 8412174
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
10
06
2021
revised:
26
10
2021
accepted:
27
11
2021
pubmed:
24
1
2022
medline:
26
4
2022
entrez:
23
1
2022
Statut:
ppublish
Résumé
Acute gastrointestinal bleeding is a potentially life-threatening condition that requires rapid intervention. In critically ill patients who are refractory to other therapies, balloon tamponade devices can be lifesaving. We provide a review of balloon tamponade devices for gastric and esophageal variceal bleeding for emergency clinicians. Balloon tamponade is intended for hemodynamically unstable patients with massive gastrointestinal bleeding and inability to perform endoscopy, failed endoscopy, delay in endoscopy, or the need to stabilize before transfer. There are 3 main tamponade devices: the Linton-Nachlas tube, the Sengstaken-Blakemore tube, and the Minnesota tube. Each tamponade device has some unique features including the number of balloons and ports. We describe the technique with pearls and pitfalls for placement. It is essential for emergency physicians to be familiar with balloon tamponade for acute gastrointestinal bleeding. We review the common balloon tamponade devices, and this article is intended to serve as a resource for those interested in expanding their knowledge of balloon tamponade. © 2022 Elsevier Inc.
Sections du résumé
BACKGROUND
Acute gastrointestinal bleeding is a potentially life-threatening condition that requires rapid intervention. In critically ill patients who are refractory to other therapies, balloon tamponade devices can be lifesaving.
OBJECTIVE
We provide a review of balloon tamponade devices for gastric and esophageal variceal bleeding for emergency clinicians.
DISCUSSION
Balloon tamponade is intended for hemodynamically unstable patients with massive gastrointestinal bleeding and inability to perform endoscopy, failed endoscopy, delay in endoscopy, or the need to stabilize before transfer. There are 3 main tamponade devices: the Linton-Nachlas tube, the Sengstaken-Blakemore tube, and the Minnesota tube. Each tamponade device has some unique features including the number of balloons and ports. We describe the technique with pearls and pitfalls for placement.
CONCLUSIONS
It is essential for emergency physicians to be familiar with balloon tamponade for acute gastrointestinal bleeding. We review the common balloon tamponade devices, and this article is intended to serve as a resource for those interested in expanding their knowledge of balloon tamponade. © 2022 Elsevier Inc.
Identifiants
pubmed: 35065859
pii: S0736-4679(21)00913-6
doi: 10.1016/j.jemermed.2021.11.004
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
545-558Informations de copyright
Copyright © 2021. Published by Elsevier Inc.