PERFIL EPIDEMIOLÓGICO DA UTILIZAÇÃO DE SONDA DE SENGSTAKEN- BLAKEMORE EM UM HOSPITAL TERCIÁRIO DE CURITIBA

• DOI: https://doi.org/10.22533/at.ed.6321325041110

• Palavras-chave: Hemorragia Gastrointestinal; Hemostasia; Tamponamento com Balão; Varizes esofágicas e gástricas; Mortalidade Intra-hospitalar.

• Keywords: Gastrointestinal Bleeding; Hemostasis; Balloon Tamponade; Esophageal and Gastric Varices; In-hospital Mortality

• Abstract: The management of variceal gastrointestinal bleeding can be challenging. Within the therapeutic arsenal, the Sengstaken-Blakemore probe plays an important role in promoting hemostasis in patients with active or refractory bleeding and difficult hemodynamic control. Objective: To analyze the epidemiological profile of patients who require the use of a Sengstaken-Blakemore probe as hemostatic therapy in the treatment of upper gastrointestinal bleeding. Methodology: Cross- sectional, retrospective, single-center study, carried out in a tertiary reference hospital, located in Curitiba/PR. The study population was made up of patients who used the Sengstaken-Blakemore probe as a measure to control upper digestive bleeding, from January 2022 to January 2024. Data were collected from medical records, recorded in a database and analyzed using specific statistical tests. Results: 77 patients were included in the study. There was a predominance of males (85.7%) with a median age of 59 years. Definitive endoscopic management was performed in 61% of patients, but 1/3 experienced rebleeding. Mortality during hospitalization was 87%. Among the parameters evaluated, the MELD-Na score and lactate dosage showed statistical significance in predicting death. Conclusion: Varicose gastrointestinal bleeding is an emergency with high mortality. In which, despite the effective hemostatic control of balloon tamponade, unfavorable outcomes such as death and rebleeding are frequent.