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Updated: Apr 16, 2026

Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring

Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring

Published on: April 3, 2015

Surviving Sengstaken.

S Jayakumar¹, A Odulaja¹, S Patel¹

¹Department of Paediatric Surgery, Kings College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS.

Journal of Pediatric Surgery

|March 19, 2015

Summary

This summary is machine-generated.

The Sengstaken-Blakemore tube (SBT) is a temporary, life-saving intervention for children experiencing severe vomiting of blood (haematemesis). While effective, it is associated with complications and mortality, necessitating further management.

Keywords:

Balloon tamponade Haemetemesis Oesophageal varices Portal hypertension Sengstaken–Blakemore tube

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Autologous Endothelial Progenitor Cell-Seeding Technology and Biocompatibility Testing For Cardiovascular Devices in Large Animal Model

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Published on: September 9, 2011

Area of Science:

Pediatric Gastroenterology
Interventional Endoscopy
Hepatology

Background:

Life-threatening hematemesis in children is a critical medical emergency.
Gastrointestinal bleeding, particularly from esophageal varices, poses significant risks.
Effective temporary measures are crucial for stabilizing these patients.

Purpose of the Study:

To evaluate the outcomes of pediatric patients treated with Sengstaken-Blakemore tube (SBT) insertion for severe hematemesis.
To identify the efficacy and complications associated with SBT use in children.
To assess the long-term management and survival rates following SBT insertion.

Main Methods:

Retrospective review of pediatric patients undergoing SBT insertion between 1997 and 2012 at a single institution.
Collection of data on patient demographics, diagnoses, and clinical outcomes.
Analysis of complications, mortality, and subsequent treatment strategies.

Main Results:

Nineteen children, primarily with gastroesophageal varices secondary to conditions like biliary atresia and portal vein thrombosis, were included.
Six children (31%) died, with complications including mucosal ulceration and pressure necrosis.
Of the survivors, 5 required liver transplantation, 2 underwent shunt procedures, and 6 received endoscopic variceal obliteration.

Conclusions:

The Sengstaken-Blakemore tube serves as an effective, temporary measure for life-threatening hematemesis in children.
SBT use is associated with significant complications and mortality, highlighting the need for prompt definitive management.
Long-term outcomes require interventions such as transplantation, shunting, or endoscopic obliteration.