A case of Sengstaken-Blakemore tube-induced esophageal rupture repaired by endoscopic clipping. 2011

Jin Hwan Jung, and Jin Il Kim, and Jun Ho Song, and Jeong Ho Kim, and Sang Hun Lee, and Dae Young Cheung, and Soo Heon Park, and Jae Kwang Kim
Division of Gastroenterology, Department of Internal Medicine, The College of Medicine, The Catholic University of Korea, Korea.

A 57-year-old man was admitted to another hospital for hematemesis due to heavy drinking. A Sengstaken-Blakemore tube was inserted and the patient was transferred to our hospital. The patient's ensuing movements inadvertently caused an esophageal rupture 2.5 cm in size. Since the patient's condition was stable, treatment via endoscopic repair using metallic clips was chosen over emergency surgery. Two hemoclips were fixed at the ends of the ruptured area; by employing an endoscopic detachable snare, the ruptured area was carefully repaired with 10 metallic clips. As a result, the esophageal rupture could be successfully repaired by endoscopic procedure rather than performing surgery.

UI MeSH Term Description Entries
D008297 Male Males
D008309 Mallory-Weiss Syndrome A condition characterized by mucosal tears at the ESOPHAGOGASTRIC JUNCTION, sometimes with HEMATEMESIS. Typically it is caused by forceful bouts of retching or VOMITING. Gastroesophageal Laceration-Hemorrhage,Mallory-Weiss Laceration,Mallory-Weiss Tear,Mucosal Lacerations-Gastroesophageal Junction,Gastroesophageal Laceration Hemorrhage,Gastroesophageal Laceration-Hemorrhages,Junction, Mucosal Lacerations-Gastroesophageal,Junctions, Mucosal Lacerations-Gastroesophageal,Laceration, Mallory-Weiss,Laceration-Hemorrhage, Gastroesophageal,Laceration-Hemorrhages, Gastroesophageal,Lacerations-Gastroesophageal Junction, Mucosal,Lacerations-Gastroesophageal Junctions, Mucosal,Mallory Weiss Laceration,Mallory Weiss Syndrome,Mallory Weiss Tear,Mucosal Lacerations Gastroesophageal Junction,Mucosal Lacerations-Gastroesophageal Junctions,Syndrome, Mallory-Weiss
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004724 Endoscopy Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body. Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D004932 Esophageal and Gastric Varices Dilated blood vessels in the ESOPHAGUS or GASTRIC FUNDUS that shunt blood from the portal circulation (PORTAL SYSTEM) to the systemic venous circulation. Often they are observed in individuals with portal hypertension (HYPERTENSION, PORTAL). Esophageal Varices,Gastric Varices,Esophageal Varix,Gastric Varix,Varices, Esophageal,Varices, Gastric,Varix, Esophageal,Varix, Gastric
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D006396 Hematemesis Vomiting of blood that is either fresh bright red, or older "coffee-ground" in character. It generally indicates bleeding of the UPPER GASTROINTESTINAL TRACT. Hematemeses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000428 Alcohol Drinking Behaviors associated with the ingesting of ALCOHOLIC BEVERAGES, including social drinking. Alcohol Consumption,Alcohol Intake,Drinking, Alcohol,Alcohol Drinking Habits,Alcohol Drinking Habit,Alcohol Intakes,Consumption, Alcohol,Drinking Habit, Alcohol,Habit, Alcohol Drinking,Habits, Alcohol Drinking,Intake, Alcohol
D012421 Rupture Forcible or traumatic tear or break of an organ or other soft part of the body. Ruptures

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