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Use of Sengstaken-Blakemore tube to stop massive upper gastrointestinal bleeding from dieulafoy's lesion in the lower oesophagus

Department of Anaesthesia & Intensive Care, North Shore Hospital, Auckland, New Zealand

Summary

Massive upper gastrointestinal bleeding from Dieulafoy’s lesion in the gastrointestinal tract is uncommon. The use of the Sengstaken-Blakemore tube in acute gastrointestinal bleeding has become less common since endoscopic sclerotherapy and banding procedures have become widely available. The successful use of a Sengstaken-Blakemore tube to control acute massive upper gastrointestinal bleeding from a Dieulafoy’s lesion in the lower oesophagus in an elderly man with severe coronary artery disease and heart failure is described.

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