The Experts below are selected from a list of 645 Experts worldwide ranked by ideXlab platform
Mevlut Pehlivan - One of the best experts on this subject based on the ideXlab platform.
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Assessment of Anal Sphincter Function by Sengstaken-Blakemore Tube Anal Manometry
World Journal of Surgery, 2007Co-Authors: Ömer Günal, Emin Gürleyik, Yüksel Arikan, Mevlut PehlivanAbstract:Background Anal manometry is a useful tool for testing the effectiveness of surgical treatment. However, most techniques for anal pressure measurement are not easily available because of high cost. The aim of the present study was to introduce an easy and reproducible method for measuring anal pressures in testing the effectiveness of surgical procedures. Materials and methods We used a Sengstaken-Blakemore Tube connected to a mercury manometer. After calibration of the system by inflating the distal (gastric) balloon and filling connection lines to the mercury manometer with 0.9% NaCl solution, resting and squeezing anal pressures were measured. The system was used on 50 human subjects (35 with anal fissure and 15 normal volunteers). Left lateral internal sphincterotomy had been performed in the anal fissure cases. Anal pressures were measured preoperatively and on postoperative days (POD) 2 and 20. Results Preoperative resting anal pressures in the group with anal fissure (83.4 ± 1 mmHg) were significantly higher than those in the group of normal individuals (52 ± 1.2 mmHg; p = 0.001). Resting anal pressures after the sphincterotomy (29 ± 1 mmHg) were found to be significantly lower on POD 2, and resting anal pressure measurements (47 ± 1 mmHg) on POD 20 were lower than the corresponding preoperative values. These values are closer to those of normal volunteers ( p = 0.016). Conclusions Anal manometry can be performed with this easily constructible and inexpensive system. This reproducible method can be used in the assessment of the results of surgical treatment in patients with anal and perianal diseases.
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Assessment of anal sphincter function by Sengstaken-Blakemore Tube anal manometry.
World Journal of Surgery, 2007Co-Authors: Ömer Günal, Emin Gürleyik, Yüksel Arikan, Mevlut PehlivanAbstract:Background Anal manometry is a useful tool for testing the effectiveness of surgical treatment. However, most techniques for anal pressure measurement are not easily available because of high cost. The aim of the present study was to introduce an easy and reproducible method for measuring anal pressures in testing the effectiveness of surgical procedures.
Nikita Aggarwal - One of the best experts on this subject based on the ideXlab platform.
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the tamponade test in the management of massive postpartum hemorrhage
Obstetrics & Gynecology, 2003Co-Authors: Nikita AggarwalAbstract:Abstract Objective Massive postpartum hemorrhage is a major cause of pregnancy-related death in the United States. To date there is no diagnostic test to identify those women with intractable hemorrhage who will need surgery. Delay in making this decision can be catastrophic. The successful use of the inflated stomach balloon of a Sengstaken–Blakemore Tube as a therapy for obstetric hemorrhage has been reported previously. Using the insertion of the Sengstaken–Blakemore Tube as a diagnostic test has not been reported. An inflated Sengstaken–Blakemore balloon catheter creates tamponade and identifies those who will or will not need surgery. This is the basis for the “tamponade test.” We evaluated the tamponade test in the management of women with massive postpartum hemorrhage. Methods In this prospective study, 16 cases of intractable postpartum hemorrhage were managed by the tamponade test. All 16 women had persistent bleeding despite the maximal and optimal application of conservative measures. Their condition deteriorated, such that surgical intervention was considered mandatory. It was at this predefined end point that the tamponade test was applied. Results Fourteen (87.5%) had a positive tamponade test result and therefore did not require surgery. Two (12.5%) had a negative test result and underwent laparotomy. Conclusion This diagnostic test rapidly identifies those patients with postpartum hemorrhage who will require a laparotomy. Even when results are positive, life-threatening hemorrhage is arrested and time is also allowed to correct any consumptive coagulopathy.
Ömer Günal - One of the best experts on this subject based on the ideXlab platform.
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Assessment of Anal Sphincter Function by Sengstaken-Blakemore Tube Anal Manometry
World Journal of Surgery, 2007Co-Authors: Ömer Günal, Emin Gürleyik, Yüksel Arikan, Mevlut PehlivanAbstract:Background Anal manometry is a useful tool for testing the effectiveness of surgical treatment. However, most techniques for anal pressure measurement are not easily available because of high cost. The aim of the present study was to introduce an easy and reproducible method for measuring anal pressures in testing the effectiveness of surgical procedures. Materials and methods We used a Sengstaken-Blakemore Tube connected to a mercury manometer. After calibration of the system by inflating the distal (gastric) balloon and filling connection lines to the mercury manometer with 0.9% NaCl solution, resting and squeezing anal pressures were measured. The system was used on 50 human subjects (35 with anal fissure and 15 normal volunteers). Left lateral internal sphincterotomy had been performed in the anal fissure cases. Anal pressures were measured preoperatively and on postoperative days (POD) 2 and 20. Results Preoperative resting anal pressures in the group with anal fissure (83.4 ± 1 mmHg) were significantly higher than those in the group of normal individuals (52 ± 1.2 mmHg; p = 0.001). Resting anal pressures after the sphincterotomy (29 ± 1 mmHg) were found to be significantly lower on POD 2, and resting anal pressure measurements (47 ± 1 mmHg) on POD 20 were lower than the corresponding preoperative values. These values are closer to those of normal volunteers ( p = 0.016). Conclusions Anal manometry can be performed with this easily constructible and inexpensive system. This reproducible method can be used in the assessment of the results of surgical treatment in patients with anal and perianal diseases.
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Assessment of anal sphincter function by Sengstaken-Blakemore Tube anal manometry.
World Journal of Surgery, 2007Co-Authors: Ömer Günal, Emin Gürleyik, Yüksel Arikan, Mevlut PehlivanAbstract:Background Anal manometry is a useful tool for testing the effectiveness of surgical treatment. However, most techniques for anal pressure measurement are not easily available because of high cost. The aim of the present study was to introduce an easy and reproducible method for measuring anal pressures in testing the effectiveness of surgical procedures.
Jonathan Wyse - One of the best experts on this subject based on the ideXlab platform.
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Sengstaken Blakemore Tube for non variceal distal esophageal bleeding refractory to endoscopic treatment a case report review of the literature
Gastroenterology Report, 2014Co-Authors: Yen-i Chen, Alastair Dorreen, Paul J. Warshawsky, Jonathan WyseAbstract:Non-variceal upper-gastrointestinal bleeding (NVUGIB) refractory to therapeutic endoscopy is a challenging situation. The following details a novel use for the Sengstaken-Blakemore Tube in a case of severe ulcerative esophagitis after failure of conventional medical and endoscopic treatment. A 77-year-old man with a history of peptic ulcer disease developed massive hematemesis during a hospital admission. Initial gastroscopy revealed an adherent blood clot occupying the distal esophagus, extending to the gastric cardia and proximal fundus. Epinephrine was injected into and surrounding the clot; however, following the endoscopy the patient was hemodynamically unstable, requiring aggressive resuscitation. Repeat gastroscopy, following saline lavage, revealed active bleeding within severely ulcerated esophageal mucosa, immediately proximal to the gastro-esophageal (GE) junction. Despite apparent hemostasis following injection of epinephrine and electrocautery, the patient displayed clinical signs of continued bleeding. Furthermore, surgical and radiological interventions were precluded by the patient's hemodynamic instability. In an attempt to tamponade blood supply to the GE junction, a Sengstaken-Blakemore Tube was inserted and placed under tension. Successful hemostasis was subsequently achieved and the patient remained stable. This is the first case to describe use of a Sengstaken-Blakemore Tube in severe ulcerative esophagitis refractory to standard endoscopic management.
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Sengstaken-Blakemore Tube for non-variceal distal esophageal bleeding refractory to endoscopic treatment: a case report & review of the literature
Gastroenterology Report, 2014Co-Authors: Yen-i Chen, Alastair Dorreen, Paul J. Warshawsky, Jonathan WyseAbstract:Non-variceal upper-gastrointestinal bleeding (NVUGIB) refractory to therapeutic endoscopy is a challenging situation. The following details a novel use for the Sengstaken-Blakemore Tube in a case of severe ulcerative esophagitis after failure of conventional medical and endoscopic treatment. A 77-year-old man with a history of peptic ulcer disease developed massive hematemesis during a hospital admission. Initial gastroscopy revealed an adherent blood clot occupying the distal esophagus, extending to the gastric cardia and proximal fundus. Epinephrine was injected into and surrounding the clot; however, following the endoscopy the patient was hemodynamically unstable, requiring aggressive resuscitation. Repeat gastroscopy, following saline lavage, revealed active bleeding within severely ulcerated esophageal mucosa, immediately proximal to the gastro-esophageal (GE) junction. Despite apparent hemostasis following injection of epinephrine and electrocautery, the patient displayed clinical signs of continued bleeding. Furthermore, surgical and radiological interventions were precluded by the patient's hemodynamic instability. In an attempt to tamponade blood supply to the GE junction, a Sengstaken-Blakemore Tube was inserted and placed under tension. Successful hemostasis was subsequently achieved and the patient remained stable. This is the first case to describe use of a Sengstaken-Blakemore Tube in severe ulcerative esophagitis refractory to standard endoscopic management.
Yüksel Arikan - One of the best experts on this subject based on the ideXlab platform.
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Assessment of Anal Sphincter Function by Sengstaken-Blakemore Tube Anal Manometry
World Journal of Surgery, 2007Co-Authors: Ömer Günal, Emin Gürleyik, Yüksel Arikan, Mevlut PehlivanAbstract:Background Anal manometry is a useful tool for testing the effectiveness of surgical treatment. However, most techniques for anal pressure measurement are not easily available because of high cost. The aim of the present study was to introduce an easy and reproducible method for measuring anal pressures in testing the effectiveness of surgical procedures. Materials and methods We used a Sengstaken-Blakemore Tube connected to a mercury manometer. After calibration of the system by inflating the distal (gastric) balloon and filling connection lines to the mercury manometer with 0.9% NaCl solution, resting and squeezing anal pressures were measured. The system was used on 50 human subjects (35 with anal fissure and 15 normal volunteers). Left lateral internal sphincterotomy had been performed in the anal fissure cases. Anal pressures were measured preoperatively and on postoperative days (POD) 2 and 20. Results Preoperative resting anal pressures in the group with anal fissure (83.4 ± 1 mmHg) were significantly higher than those in the group of normal individuals (52 ± 1.2 mmHg; p = 0.001). Resting anal pressures after the sphincterotomy (29 ± 1 mmHg) were found to be significantly lower on POD 2, and resting anal pressure measurements (47 ± 1 mmHg) on POD 20 were lower than the corresponding preoperative values. These values are closer to those of normal volunteers ( p = 0.016). Conclusions Anal manometry can be performed with this easily constructible and inexpensive system. This reproducible method can be used in the assessment of the results of surgical treatment in patients with anal and perianal diseases.
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Assessment of anal sphincter function by Sengstaken-Blakemore Tube anal manometry.
World Journal of Surgery, 2007Co-Authors: Ömer Günal, Emin Gürleyik, Yüksel Arikan, Mevlut PehlivanAbstract:Background Anal manometry is a useful tool for testing the effectiveness of surgical treatment. However, most techniques for anal pressure measurement are not easily available because of high cost. The aim of the present study was to introduce an easy and reproducible method for measuring anal pressures in testing the effectiveness of surgical procedures.
