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[Stenoses caused by Murphy's button in the treatment of esophageal varices]

J J Debain, C Peytral, P Marandas

    Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
    |January 1, 1975
    PubMed

    Insights

    Murphy button treatment for esophageal varices stops bleeding but often causes secondary stenosis. Early intervention with dilatation is crucial to manage this complication.

    Area of Science:

    • Gastroenterology
    • Surgical Procedures

    Background:

    • Esophageal varices pose a significant bleeding risk.
    • The Murphy button is used to control esophageal variceal hemorrhage.

    Observation:

    • Secondary stenosis is a common complication following Murphy button insertion.
    • The Blakemore probe may contribute to the development of stenosis.

    Findings:

    • Two-thirds of patients develop secondary stenosis between weeks 4-8 post-procedure.
    • Severe stenosis occurs in 15% of cases, potentially requiring wire loop insertion.

    Implications:

    • Timely diagnosis and intervention for stenosis are essential.
    • Dilatation should be initiated promptly upon symptom onset to prevent severe outcomes.

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