Sengstaken Blakemore Tube -- Design and UseThe SB tube has 3 lumens and 2 balloons:
- Gastric balloon (inflated with 200-250 ml air) -- anchored at cardia to tamponade fundal varices.
- Esophageal balloon (inflated to 25-45 mmHg) -- compresses esophageal varices directly.
- Gastric aspiration lumen -- for suctioning gastric contents.
Indication: Acute bleeding from esophageal or gastric varices (complication of portal hypertension), as a
bridge to definitive therapy (TIPSS or sclerotherapy).
Modified Minnesota tube has an additional esophageal aspiration port above the esophageal balloon.
Key contraindication: Recent esophageal surgery, suspected esophageal rupture.
\[\boxed{\text{Sengstaken Blakemore tube is used for bleeding esophageal varices (tamponade)}}\]