Outcomes of patients treated with Sengstaken-Blakemore tube for uncontrolled variceal hemorrhage
The Korean Journal of Internal Medicine
;
: 696-704, 2018.
Article
in English
| WPRIM
| ID: wpr-716077
ABSTRACT
BACKGROUND/AIMS:
The aim of this study was to investigate the mortality, bleeding control rate, and their associated predictors in patients treated with Sengstaken-Blakemore (SB) tube for uncontrolled variceal hemorrhage associated with hemodynamic instability or failure of endoscopic treatment.METHODS:
The clinical data of 66 consecutive patients with uncontrolled variceal hemorrhage treated with SB tube at Gyeongsang National University Hospital from October 2010 to October 2015 were retrospectively analyzed.RESULTS:
The overall success rate of initial hemostasis with SB tube was 75.8%, and the independent factors associated with hemostasis were non-intubated state before SB tube (odds ratio, 8.50; p = 0.007) and Child-Pugh score < 11 (odds ratio, 15.65; p = 0.022). Rebleeding rate after successful initial hemostasis with SB tube was 22.0%, and esophageal rupture occurred in 6.1%. Mortality within 30 days was 42.4%, and the related independent factors with mortality were failure of initial hemostasis with SB tube (hazard ratio, 6.24; p < 0.001) and endotracheal intubation before SB tube (hazard ratio, 2.81; p = 0.018).CONCLUSIONS:
Since the era of endoscopic band ligation, SB tube might be a beneficial option as a temporary salvage treatment for uncontrolled variceal hemorrhage. However, rescue therapy had a high incidence of fatal complication and rebleeding.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rupture
/
Incidence
/
Retrospective Studies
/
Mortality
/
Salvage Therapy
/
Hemodynamics
/
Hemorrhage
/
Hemostasis
/
Intubation, Intratracheal
/
Ligation
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Internal Medicine
Year:
2018
Type:
Article
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