Question:easy

Sengstaken Blakemore tube is used in:

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The SB tube works by balloon tamponade of a specific vascular complication of portal hypertension.
Updated On: Jun 23, 2026
  • Bleeding esophageal varices
  • Boerhaave syndrome
  • Carcinoma esophagus
  • Achalasia cardia
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The Correct Option is A

Solution and Explanation

Sengstaken Blakemore Tube -- Design and Use

The 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.

\[\boxed{\text{Sengstaken Blakemore tube is used for bleeding esophageal varices (tamponade)}}\]
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