CS233204B1 - Esophageal probe - Google Patents

Abstract

The invention relates to an esophageal probe for stopping bleeding from esophageal varices. The probe consists of three supply tubes and one infusion tube, arranged in the probe shaft, while the supply tubes are at the working end of the probe shaft opening into two spherical inflatable balloons and one cylindrical balloon placed between the spherical balloons and at the other handling end_they are provided with control balloons with non-return valves and the infusion tube is opened at one end between by deflating balloons from the probe shaft and its other handling end is open.

Description

233204 2

BACKGROUND OF THE INVENTION The present invention relates to an esophageal three-balloon probe with an infusion tube tubular delivery of a saturated solution of glucose into a space enclosed between the peripheral inflatable balloons. The smuggler probe is used to stop bleeding from esophageal veins, enlarged and thinned veins of the smuggler's end, and cirrhosis of the liver to accompany the increased pressure in the porcine gland; veins to which varices belong.

Hepatic cirrhosis with increased pressure in the veins of the gatehouse and the incidence of life-threatening bleeding from esophageal varices is constantly increasing. These are mainly the consequences of chronic alcoholism, infectious inflammation of the liver, or the combination of both. At the same time, the treatment methods are poorly satisfactory, including interventions in the form of cervical door-system short circuits. A large proportion of the patients die during the first year of the annihi- ty at the first, but some of the other bleeding.

Surgery during bleeding shows! unbearable high mortality rates, 30 to 0 96. These, which are done without bleeding, as well as gate-system shorts, do not prolong life, but merely change the pattern of dying. Unoperated die from bleeding, operated on internal poisoning, mainly from damage to the brain by ammonia. In addition to other harm caused by the metabolism, the cirrhotic liver does not dispose of ammonia in the necessary mill, because it is totally or substantially bypassed by the type of intervention by the intracranial blood flow. In general, there is an attempt to improve results by conservative, non-operative procedures, mainly to avoid! with surgery during uncontrolled bleeding and in parallel signs of liver failure. Leading Officer has acquired fiber optic endoscopy and instrumental supplements for electrocoagulation of varicose veins, their laser treatment, cryo-therapy, targeted spraying and sclerosing agents, and the like. They implement these methodologies under the banner of visibility. They are highly demanding in terms of technical equipment, and the skills and the team depend only on hospitals of the higher standard for the requirement of continuous availability of specialists. However, bleeding from esophageal varices occurs everywhere and its stopping does not tolerate time delay.

Furthermore, the technicized procedures and the means used for the accident do not exclude the immediate or subsequent eruption of the esophagus with severe to deadly consequences. They also mention the perfect emptying of the stomach from the amount of blood accumulated therein. It is composed of non-digestion and also bacterial. The resulting products have the effect of deadly poisons. they are already attacking the already hardly damaged liver, which is letting them through and lets them flood the whole organism.

The aforementioned drawbacks and complexities in stopping bleeding from the esophageal varices overcome the smuggler probe of the invention. The essence of the fire probe according to the invention is that four tubes are attached to the main tube of the probe shaft. Of these, the supply tubes at the working end are provided with non-inflatable balloons, and the fourth infuser tube free from the probe stem between the inflatable edge balloons. The outer handling end of the three supply tubes is each provided with a control balloon and a vent valve. A free-flowing infusion tube is used to deliver a fibrotroping concentrated glucose solution.

The smuggler probe of the invention simplifies the process of arresting varicose vein bleeding. It comes in the same way as a stomach probe. It is therefore a practice. It is a self-fulfilling task, without the demanding and challenging controlled equipment. The procedure renounces sclerosing effects with erratic side effects. Infused saturated glucose solution acts in the delimited area on the mucous membrane and on the physical-osmotic varices, without risk, since glucose is a physiological part of the internal environment and has a protective effect on the liver. An example of an embodiment of the invention is shown in the accompanying drawings, wherein in Fig. 1 the esophageal probe of the invention shown in section after its introduction into the esophagus is postulated into the stomach. FIG. 2 depicts the situation at the time the saturated glucose solution was applied to the disentangled marginal balloons and the infused glucose was not flowed properly into the overflowed varlx. FIGS. 3 and 4 show the arrangement of the air intake tubes into individual balloons and an infusion tube for feeding the saturated glucose solution.

The esophageal probe according to the invention consists of a stem. a probe in which there are three supply tubes H, 12, 13, and an infusion tube 1. Manipulation ends of the supply tubes 11, 12, 13 are provided with control balloons 1, 1 and 1 with poor vents 14, 24 and 34.

The infusion tube 4 for the saturated glucose solution 2 emerges from the probe shaft 6 between the inflating balloons 10 and 30 until its free end serves to connect the infusion bottle with the saturated flucose solution 2. The probe is inserted through the esophagus section, which carries a major part of the g varx to the upper stomach.

The esophageal probe according to the invention makes it possible to first stop bleeding by the pressure of the inflated balloons 10 and 20. Thereafter, the air from the balloon 20 is discharged. The mucosa of the lower esophagus 6 is exposed to a break in contact with the saturated glucose solution 2 only by itself, then bleeding varicose g.

The esophageal probe of the present invention with collapsed 10 gO inflatable balloons and 30 sesasunia into the esophagus g, and desire a stomach entrance pose through one of the nasal passages or through the mouth. First, the balloon 10 inflates under the entrance to the stomach, then the balloon 20 in the lower esophagus 8 to apply compression to mechanically stop the bleeding from the varicose g and using the Sengstaken-Blakemore probe. While balloon bleeding ceases, the second phase focuses on the specificity of the esophageal probe according to the invention with the addition of an inflatable balloon 30 and free opening of the infusion tube 4 between the balloons 10 and 30.

Through the infusion tube 4, a controlled amount of saturated glucose solution 2 is fed dropwise under the gravity gradient over the balloon 10 until the balloon 30 collapses.

Previously, air was discharged from the balloon 30. The inflated balloon 10 closes watertightly to the stomach entrance after axial tensioning of the probe 6 and thereby closes it. This condition is fixed by the patch on the face at the nasal passage or mouth. Glucose solution 2 infused in drops is accumulated in the lower esophageal portion. Because of its concentration, it takes the mucosa to remove water, deprives it of the water of the epithelium, consolidates it into a rigid consistency, and brings it to fibrotization.

By picking up water from the mucosa and swallowing saliva, the saturated 2-glucose solution is injured. Therefore, air is emitted from the balloon 10 from time to time, thereby sealing the alluvium and flowing into the stomach. Glucose is used as a food that has a protective pan of damaged liver. The described process always with a new infusion is repeated in 1-2 hour intervals.

A total non-residual probe that is longer than 24 hours. After an interval of about an hour, it can be introduced again until the drainage of the drained mucosa becomes sufficient. Excessive Bleeding Restoration Indicates a procedure that guides a concentrated solution of 2 glucose directly into the bleeding varlx 8. Concentrated Solution 2 requires that the var, ix (s) g be bleeding and contracted and the dried lining sticks to each other. after the vessel's fibrillation closure and thus the punching site.

We intend to directly influence the bleeding gland g first by following the previous paragraph. The balloon 10 is inflated and a fixed pull on the probe shaft 6 is sealed into the stomach. Balloon 20 remains loose all the time.

Claims (1)

233204 4 When the level of infused saturated solution of glucose X exceeds balloon 32, it inflates so that it also seals upwards. Between balloon 12 and 32 3 ®, the lower smuggler section g sealed, sealed, filled with saturated glucose solution X, which expelled all air. A saturated solution of glucose X is dripped through the tube 4. Under the influence of water, the smooth muscles of the smuggler remain in the contracted state. The infusion is not given dropwise to the dosing infusion. Saturated glucose solution X has only one effluent route, and this is the entry to the pre-punched varix g. Suspension of an infusion fusion of 60 cm @ 2 of the patient ' s body level provides a hepatic reserve of the gravity drop for pre-peeled varicose g with a saturated glucose solution (7) dropwise. The reactively shrinked varicose is soon seared down by a firmly adhering fibril, and the subsequent seed is transferred to a fibrous strand. In this respect, a decisive clinical statement is that the first-stage strengthened mucosa of the gnad smuggler var. G is more prominent than the procedure that induces light-flutter conversion and malignant significance of the longer-lasting effect. Stopping the haemorrhage leads the patient immediately out of the state of the binge. It can be used in a type of treatment facility. Frl tends to be able to build a porto-system orc in the interval, without bleeding at all-round versatile encased conditions. However, fibrosis can also be treated as definite by applying repeated prophylactic, individually determined intervals. One year after the first bleeding, it represents the time of maximum exsanguination threat. The tendency to bleed decreases as the body itself usually creates more numerous connections between the gatehouse systemic circulation. SUMMARY OF THE INVENTION A smuggler probe to stop bleeding from smuggler's varicose veins with complementary induction of oesophageal mucosa fibrosis or also punctured varices, characterized in that it consists of three supply tubes (1) to 13) and one infusion tube (4), arranged in the shank (6 (probes, wherein the supply tubes (11 to 13) are provided on the operation end of the probe shaft (6) into two rubber-shaped inflatable balloons (10 and 30) and a single balloon balloon (20) positioned between the balloon (10 and 30 ) rubber-shaped and provided with control balloons (1 to 3) on the second maneuvering end, with the wrong valves (14, 24, 34), and the infusion tube (4) resulting in one end between the inflating balloons (10 and 30) from the probe shaft (6) and its second handling end is open