Abstract This invention provides an improvement in a method of surgically treating an esophageal varix utilizing an endoscope wherein air under pressure is directed to expand a patient's esophagus and wherein the varix is located, punctured and injected with a sclerosing material. The subject improvement involves directing a dual-lumen balloon tube through the patient's esophagus, the dual-lumen balloon tube including a primary suction lumen and a secondary inflation lumen. After the vatix is located, punctured and injected with sclerosing material, the balloon tube is partially withdrawn to position the balloon adjacent the varix and fluid under pressure is directed through the secondary lumen to inflate the balloon to thereby compress the varix to assist in stemming the flow of blood therefrom. Suction is then applied to the primary lumen to relieve pressure in the patient's stomach. This invention also provides an improved dual-lumen suction tube wherein the tube has a first portion constructed of a flexible but relatively hard plastic, and a second portion defining a distal end tube tip which is constructed of a relatively softer plastic than the first portion, such tube tip being mounted on a distal end of the first portion.
In a method of surgically treating an esophageal varix utilizing an endoscope a distal end of which is positioned within a patient's esophagus to direct air under pressure to expand the patient's esophagus and wherein the varix is located, punctured and injected with a sclerosing material, the improvement comprising: directing a relatively thin, dual-lumen suction tube through the patient's esophagus to position the distal end of the suction tube in the patient's stomach, the suction tube including a primary suction lumen for relieving pressure in the patient's stomach and a secondary inflation lumen for directing fluid under pressure to inflate a balloon fixed near the distal end of the suction tube; expanding the patient's esophagus by directing air under pressure thereto; locating and puncturing the varix and injecting the sclerosing material into the varix; at least partially withdrawing the endoscope and partially withdrawing the suction tube to position the balloon adjacent the varix; directing fluid under pressure through the secondary lumen of the suction tube to inflate the balloon to thereby compress the varix and assist in stemming the flow of blood therefrom; and suctioning the patient's stomach utilizing the primary suction lumen of the suction tube in order to relieve pressure in the patient's stomach.
Claim 2
Dependent Claim
206 words
In a method of surgically treating an esophageal varix utilizing an endoscope a distal end of which is positioned within a patient's esophagus to direct air under pressure to expand the patient's esophagus and wherein the varix is located, punctured and injected with a sclerosing material, the improvement comprising: directing a relatively thin, dual-lumen suction tube through the patient's esophagus to position the distal end of the suction tube in the patient's stomach, the suction tube including a primary suction lumen for relieving pressure in the patient's stomach and a secondary inflation lumen for directing fluid under pressure to inflate a balloon fixed near the distal end of the suction tube; expanding the patient's esophagus by directing air under pressure thereto; locating and puncturing the varix and injecting the sclerosing material into the varix; at least partially withdrawing the endoscope and partially withdrawing the suction tube to position the balloon adjacent the varix; directing fluid under pressure through the secondary lumen of the suction tube to inflate the balloon to thereby compress the varix and assist in stemming the flow of blood therefrom; and suctioning the patient's stomach utilizing the primary suction lumen of the suction tube in order to relieve pressure in the patient's stomach.
Claim 3
Dependent Claim
52 words
In the method of claim 1, wherein the suction tube further comprises suction holes in the primary suction lumen adjacent the balloon on the proximal side thereof, said improvement further comprising removing body fluids in the patient's esophagus above the balloon while compressing the varix and relieving pressure in the patient's stomach.
Claim 4
Dependent Claim
68 words
In the method of claim 2 wherein the suction tube further comprises a third lumen for directing fluid under pressure to inflate a second balloon on the distal side of the balloon adapted to be positioned adjacent the varix, the improvement further comprising directing fluid under pressure to the second balloon to inflate the same and block the stomach from communication with the esophagus while relieving pressure therin.