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Balloon Tamponade Utilization for Severe Esophagitis Causing Hemorrhagic Shock
Sarang Thaker1, Gregory Pajot1, Adam E Mikolajczyk1
1Department of Medicine, Division of Gastroenterology and Hepatology, University of Illinois at Chicago, Chicago, USA.
Cureus
|September 22, 2021
Summary
Hemorrhagic shock from severe esophagitis can be life-threatening. Balloon tamponade offers a critical rescue therapy for refractory upper gastrointestinal bleeding (UGIB) when other treatments fail.
Area of Science:
- Gastroenterology
- Endoscopy
- Critical Care Medicine
Background:
- Upper gastrointestinal bleeding (UGIB) from esophagitis presents significant clinical challenges.
- Hemorrhagic shock secondary to severe esophagitis is a rare but critical complication.
Observation:
- Two patients with hemodynamic instability due to severe, bleeding pan-esophagitis were treated.
- Esophagogastroduodenoscopy revealed extensive mucosal injury and active bleeding.
Findings:
- Balloon tamponade was successfully employed for hemostasis in both patients.
- Hemodynamic parameters significantly improved following the intervention.
Implications:
- Balloon tamponade serves as a vital rescue option for severe, refractory UGIB caused by esophagitis.
- Limited endoscopic therapies and high risks associated with alternative treatments underscore the utility of balloon tamponade.
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