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A case of Sengstaken-Blakemore tube-induced esophageal rupture repaired by endoscopic clipping
Jin Hwan Jung1, Jin Il Kim, Jun Ho Song
1Division of Gastroenterology, Department of Internal Medicine, The College of Medicine, The Catholic University of Korea, Korea.
Abstract:
A 57-year-old man was admitted to another hospital for hematemesis due to heavy drinking. A Sengstaken-Blakemore tube was inserted and the patient was transferred to our hospital. The patient's ensuing movements inadvertently caused an esophageal rupture 2.5 cm in size. Since the patient's condition was stable, treatment via endoscopic repair using metallic clips was chosen over emergency surgery. Two hemoclips were fixed at the ends of the ruptured area; by employing an endoscopic detachable snare, the ruptured area was carefully repaired with 10 metallic clips. As a result, the esophageal rupture could be successfully repaired by endoscopic procedure rather than performing surgery.
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