Question

A 65-year-old patient with longstanding alcohol misuse presents with haematemesis. Endoscopy confirms bleeding oesophageal varices. First-line acute management, in addition to resuscitation, includes:

Accepted Answer

Intravenous terlipressin and urgent endoscopic band ligation

Answer

High-dose proton pump inhibitor infusion

Answer

Immediate TIPS procedure

Answer

Nitrates and beta-blockers

Answer

Octreotide infusion alone

Practice question

A 65-year-old patient with longstanding alcohol misuse presents with haematemesis. Endoscopy confirms bleeding oesophageal varices. First-line acute management, in addition to resuscitation, includes: