• Critical care clinics · Oct 1992

    Review

    Sengstaken-Blakemore tube placement. Use of balloon tamponade to control bleeding varices.

    • M D Pasquale and F B Cerra.
    • Department of Surgery, University of Minnesota Hospitals and Clinic, Minneapolis.
    • Crit Care Clin. 1992 Oct 1; 8 (4): 743-53.

    AbstractThe management of acute variceal bleeding continues to challenge those who care for patients with portal hypertension. Survival depends on rapid institution of an established protocol for resuscitation, diagnosis, and management of the patient. Balloon tamponade plays an important part in the management of this problem along with pharmacologic and endoscopic modalities. It is important in closing, however, to note that guidelines for use cannot compensate for lack of experience and the authors agree with Vlavianos and colleagues in stating that without experience in its use, balloon tamponade is of limited value.

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