Abstract
The Sengstaken-Blakemore tube (SB tube) is used to control esophageal and gastric variceal bleeding in intensive care units specially in hemodynamically unstable patients. Various complications related to SB tube insertion have been reported. We herein present a rare case of Tracheoesophageal fistula (TEF) in a 58-year-old male patient after repeated and prolonged insertion of the SB tube to control variceal hemorrhage.
Material and Methods- Nil
Result- Nil
Conclusion- This case report shows tracheoesophageal fistula as a complication of Sengstaken-Blakemore tube insertion.
Keywords: Tracheoesophageal fistula; Sengstaken-Blakemore tube; Variceal hemorrhage
References
1. Elsamman MK, Fujiwara Y, Kameda N, et al. Predictive factors of worsening of esophageal varices after balloon-occluded retrograde transvenous obliteration in patients with gastric varices. Am J Gastroenterol 2009;104:2214-2221.
2. Liew YT, Yong DJ, Somasundran M, Ong CA (2014) Graveful Iatrogenic Tracheoe-sophageal Fistula Secondary to Stenting of Post Irradiated Esophageal Stricture: Case Report. JSM Clin Case Rep 3(1): 1074.
3. Akgun S, Lee DE, Weissman PS, Yook CR, Vujic DM, Rellosa I. Hemoptysis and tracheoesophageal fistula in a patient with esophageal varices and Sengstaken-Blake-more tube. Am J Med 1988;85:450-452.
4. Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirr-hosis. N Engl J Med 2010;362:823-832.
5. Feldman M, Friedman LS, Brandt LJ. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia: Saunders Elesvier, 2010.
6. Obrecht WF Jr, Richter JE, Olympio GA, Gelfand DW. Tracheoesophageal fistula: a serious complication of infectious Hyun Jin Kim, et al：TEF in Treatment of Varices with SB Tube 191 esophagitis. Gastroenterology 1984;87:1174-1179.
7. Avgerinos A, Armonis A. Balloon tampo-nade technique and efficacy in variceal haemorrhage. Scand J Gastroenterol Suppl 1994; 207:11-16.
8. Reed MF, Mathisen DJ. Tracheo-esophageal fistula. Chest Surg Clin N Am 2003;13:271-289.
9. Vlavianos P, Gimson AE, Westaby D, Williams R. Balloon tamponade in variceal bleeding: use and misuse. BMJ 1989;298:1158.
10. Smith HM, Bacon DR, Sprung J. Diff-iculty assessing endotrachealtube place-ment in a patient with undiagnosed iatrog-enic tracheoesophageal fistula. J Cardio-thorac Vasc Anesth. 2006;20:223–4.
Corresponding Author
Dr Manish Khandelwal
Department of Anaesthesia
RUHS College of Medical Sciences, Jaipur, India
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.23
