Kandel G, Gray R, Mackenzie R L, Carruthers J S
Department of Medicine, Wellesley Hospital, Toronto, Ontario, Canada.
Am J Gastroenterol. 1988 Apr;83(4):442-4.
In a patient with bleeding esophageal varices, inadvertent inflation of a Linton-Nachlas balloon in the third portion of the duodenum led to bowel perforation and death. This complication emphasizes a potential problem in passing a balloon catheter as far as possible down the nares, a technique that has been suggested to prevent balloon catheter inflation in the esophagus. To the best of our knowledge, this is the first reported case of duodenal rupture from attempted balloon tamponade for variceal hemorrhage.
在一名患有食管静脉曲张出血的患者中，林顿-纳克拉斯气囊在十二指肠第三段意外充气导致肠穿孔和死亡。这一并发症凸显了将气囊导管尽可能深入经鼻孔插入这一操作中存在的潜在问题，有人曾建议采用该技术来防止气囊导管在食管内充气。据我们所知，这是首例因尝试用气囊压迫治疗静脉曲张出血而导致十二指肠破裂的报道病例。
