A patient with compensated liver cirrhosis presented with a history of variceal bleed. What is the preferred mode of treatment in this patient?
Whenever cirrhotic patient presents with upper GI bleed, the single most impoant diagnostic as well as therapeutic procedure to be performed is endoscopy. If varices are found they are treated either with Endoscopic variceal ligation or Endoscopic Sclerotherapy Endoscopic variceal ligation is preferred method. Since endoscopic variceal ligation has not been provided in option so endoscopic sclerotherapy is the answer of choice here in the question. Ref: Schwaz 9/e, Page 1113; Harrison 17/e, Page 1977
Propranolol
Liver transplantation
TIPS
Endoscopic sclerotherapy