Abstract
Patients with haemorrhage from oesophageal varices associated with portal hypertension are poor risks for anaesthesia and surgery. One method of controlling such haemorrhage is injection of the oesophageal varices (sclero-therapy) via an oesophagoscope. Careful preoperative preparation and use of the Sengstaken-Blakemore tube in combination with the anaesthetic technique of intermittent Althesin and suxamethonium with artificial ventilation with nitrous oxide and oxygen enables sclerotherapy to be carried out successfully.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bailey M. E., Dawson J. L. Modified oesophagoscope for injecting oesophageal varices. Br Med J. 1975 Jun 7;2(5970):540–541. doi: 10.1136/bmj.2.5970.540-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hunt P. S., Johnston G. W., Rodgers H. W. The emergency management of bleeding oesophageal varices with sclerosing injections. Br J Surg. 1969 Apr;56(4):305–307. doi: 10.1002/bjs.1800560416. [DOI] [PubMed] [Google Scholar]
- Johnston G. W., Rodgers H. W. A review of 15 years' experience in the use of sclerotherapy in the control of acute haemorrhage from oesophageal varices. Br J Surg. 1973 Oct;60(10):797–800. doi: 10.1002/bjs.1800601011. [DOI] [PubMed] [Google Scholar]
- Pitcher J. L. Safety and effectiveness of the modified Sengstaken-Blakemore tube: a prospective study. Gastroenterology. 1971 Sep;61(3):291–298. [PubMed] [Google Scholar]
- Pugh R. N., Murray-Lyon I. M., Dawson J. L., Pietroni M. C., Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973 Aug;60(8):646–649. doi: 10.1002/bjs.1800600817. [DOI] [PubMed] [Google Scholar]
- SENGSTAKEN R. W., BLAKEMORE A. H. Balloon tamponage for the control of hemorrhage from esophageal varices. Ann Surg. 1950 May;131(5):781–789. doi: 10.1097/00000658-195005000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith M., Tuft R. J., Davidson A. R., Laws J. W., Dawson J. L., Williams R. Mesentericocaval "jump" graft in management of portal hypertension: experience with 24 cases. Br Med J. 1974 Sep 21;3(5933):705–708. doi: 10.1136/bmj.3.5933.705. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams R., Dawson J. Management of bleeding oesophageal varices. Br Med J. 1968 Jan 6;1(5583):35–37. doi: 10.1136/bmj.1.5583.35. [DOI] [PMC free article] [PubMed] [Google Scholar]