Sengstaken probe

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Apply Sengstaken probe
1. Esophageal
balloon interface 2.
Gastric balloon interface 3. Gastric tube interface
4. Esophageal
balloon 5.
Gastric balloon 6. Gastric tube openings
N. Nasal cavity
P. Throat
E. Esophagus
S. Stomach

The Sengstaken probe (also Sengstaken-Blakemore probe ) is a special gastric tube that is used to treat bleeding from esophageal varices .

The Sengstaken tube is a gastric tube that has a spherical balloon (gastric balloon) a few centimeters from the end that should be in the stomach . A second balloon, which has the shape of a tube (esophageal balloon), is attached behind it. Both balloons can be inflated independently of each other.

The probe is advanced through the nose into the stomach, the gastric balloon inflated and the probe slowly withdrawn until the balloon is at the entrance to the stomach. The esophageal balloon, which is located in the esophagus and can compress bleeding esophageal varices, is then inflated. This will reduce or stop the bleeding.

If the bleeding originates from varices (varicose veins) of the gastric fundus , the similarly structured Linton-Nachlas probe can be used.

literature

  • RW Sengstaken, AH Blakemore: Balloon tamponage for the control of hemorrhage from esophageal varices. In: Ann Surg . 131 (5), May 1950, pp. 781-789. PMID 15411151 , PMC 1616705 (free full text)
  • JJ Bauer, I. Kreel, AE Kark: The use of the Sengstaken-Blakemore tube for immediate control of bleeding esophageal varices. In: Ann Surg. 179 (3), Mar 1974, pp. 273-277. PMID 4544329 , PMC 1355886 (free full text)