EXPERIENCES WITH LINTON-NACHLAS AND SENGSTAKEN-BLAKEMORE TUBES FOR BLEEDING ESOPHAGEAL-VARICES

  • 1 January 1976
    • journal article
    • research article
    • Vol. 142  (4) , 529-531
Abstract
A controlled clinical trial was begun to compare the effectiveness of the Sengstaken-Blakemore tube with that of the Linton-Nachlas tube in the emergency treatment of bleeding esophageal varices. The investigation was prematurely terminated after 2 lethal complications with the Linton-Nachlas tube. At that time, 28 patients with 42 bleeding episodes were included. Twenty-seven were treated with the Sengstaken-Blakemore tube, with bleeding being controlled in 20; 15 were treated with the Linton-Nachlas tube, with bleeding being controlled in 6. No significant statistical difference was found between the 2 tubes, 0.05 < P < 0.1, but the results encourage the use of Sengstaken-Blakemore tube in preference to the Linton-Nachlas tube, except in patients with a hiatal hernia or bleeding from fundic varices.

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