Decline of the Sengstaken-Blakemore tube: A review of shifting practices in gastrointestinal hemorrhage management

doi:10.5492/wjccm.v14.i3.101856

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Crit Care Med. Sep 9, 2025; 14(3): 101856
Published online Sep 9, 2025. doi: 10.5492/wjccm.v14.i3.101856

Table 1 Outcomes of various techniques for variceal bleeding from current literature

Classification	Percentage
Success rate by primary EVBL	87%
Success rate in balloon tamponade without rebleeding	59%
Rates of Failure to control bleeding on balloon tamponade and re-bleeding on tamponade	21%-40.9%
Death from esophageal perforation from balloon tamponade	1.2%-6.4%
TIPS attempted rates in failed balloon tamponade	24%-50%
TIPS successful rates for esophageal varices	85%-94%
BRTO successful rates for gastric varices	97.3%-100%
Cyanoacrylate glue success for gastric varices	85%
Combined cyanoacrylate glue and endoscopic ultrasound guided coiling (endo coil) for gastric varices	100%
Combined TIPS and BRTO success rated for gastric and esophageal varices	100%

EVBL: Esophageal variceal band ligation; TIPS: Transjugular intrahepatic portosystemic shunt; BRTO: Balloon-occluded retrograde transvenous variceal embolization/obliteration.

Citation: Kogilathota Jagirdhar GS, Okafor CC, Hussain M, Elmati PR, Ghumman A, Shah M, Surani S. Decline of the Sengstaken-Blakemore tube: A review of shifting practices in gastrointestinal hemorrhage management. World J Crit Care Med 2025; 14(3): 101856
URL: https://www.wjgnet.com/2220-3141/full/v14/i3/101856.htm
DOI: https://dx.doi.org/10.5492/wjccm.v14.i3.101856