A Case of Sengstaken-Blakemore Tube-Induced Esophageal Rupture Repaired by Endoscopic Clipping

概要

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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 patients ensuing movements inadvertently caused an esophageal rupture 2.5 cm in size. Since the patients 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.