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Oesophageal rupture in the course of conservative treatment of bleeding oesophageal varices.
  1. A Crerar-Gilbert
  1. Department of Anaesthetics, Whipps, Cross Hospital, Leytonstone, London.


    Fatal oesophageal rupture is described as a complication of the management of bleeding oesophageal varices with repeated sclerotherapy and tamponade using the Sengstaken-Blakemore tube. The importance of chest radiographs is stressed in the early detection and prevention of malposition of the Sengstaken-Blakemore tube, as inflation of the gastric balloon in the oesophagus can result in oesophageal rupture.

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