Linton Nachlas probe

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The Linton-Nachlas probe (also known as the Linton probe ) is a special gastric probe used to treat upper gastrointestinal bleeding from varices in the fundus of the stomach .

The Linton-Nachlas tube is a three-lumen, single-balloon gastric tube . A lumen is used to inflate the pear-shaped balloon at the end of the probe, which has a capacity of approx. 700 ml. The other two lumina open once towards the esophagus and once more towards the stomach . This enables an exact localization of the bleeding through separately possible aspiration.

The probe is advanced through the nose into the stomach, the balloon is inflated and the probe is slowly withdrawn until the balloon is at the entrance to the stomach. A tensile weight of 500 - 1000 g can be attached to compress the gastric fundus varices. This will reduce or even stop the bleeding.

If the bleeding originates from esophageal varices (the esophagus), the similarly structured Sengstaken-Blakemore probe can be used.

literature

  • Foitzik T, Klar E: Acute gastrointestinal bleeding. Emergency & Rescue Medicine, Volume 9, Number 7 (November 2006); Pp. 635-645
  • Nachlas MM: Experiences with the triple-lumen single balloon tube in massive upper gastrointestinal hemorrhage. Gastroenterology 1956; 30: 913-928. PMID 13344842