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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1989-7-12
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pubmed:abstractText |
Over a seven-year period, 138 patients with portal hypertension presented on 223 occasions with endoscopically proven acute variceal hemorrhage. Hemorrhage ceased spontaneously on 92 occasions (41%). On 126 occasions (57%) passage of the four-lumen modification of the Sengstaken-Blakemore tube was required, and hemorrhage was successfully controlled in 98%. Intubation was refused on five occasions (2%). Hemorrhage recurred during these 223 admissions on 47 occasions (21%); on 11 occasions a second rebleed occurred and on two occasions, a third. Tamponade was required during all of these rebleeds and arrest of hemorrhage was achieved in 87%. Hemorrhage in patients with poorer modified Child's grade was less likely to cease with intubation. The overall rate of control in the 186 episodes of hemorrhage requiring tamponade was 94%. There were 28 complications attributed to the use of tamponade in 186 episodes of hemorrhage (15%). On 12 occasions these complications proved fatal (6.4%). In four further patients failure of tamponade to control hemorrhage was fatal.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0163-2116
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
913-8
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pubmed:dateRevised |
2010-12-1
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pubmed:meshHeading |
pubmed-meshheading:2656137-Adolescent,
pubmed-meshheading:2656137-Adult,
pubmed-meshheading:2656137-Aged,
pubmed-meshheading:2656137-Aged, 80 and over,
pubmed-meshheading:2656137-Balloon Dilation,
pubmed-meshheading:2656137-Balloon Occlusion,
pubmed-meshheading:2656137-Esophageal and Gastric Varices,
pubmed-meshheading:2656137-Esophagus,
pubmed-meshheading:2656137-Female,
pubmed-meshheading:2656137-Gastrointestinal Hemorrhage,
pubmed-meshheading:2656137-Hemostatic Techniques,
pubmed-meshheading:2656137-Humans,
pubmed-meshheading:2656137-Male,
pubmed-meshheading:2656137-Middle Aged,
pubmed-meshheading:2656137-Sclerosing Solutions
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pubmed:year |
1989
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pubmed:articleTitle |
Esophageal tamponade in the management of acute variceal hemorrhage.
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pubmed:affiliation |
University Department of Surgery, Royal Infirmary, Edinburgh, Scotland, United Kingdom.
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pubmed:publicationType |
Journal Article
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