A 69-year-old with compensated cirrhosis and large esophageal varices is undergoing primary prophylaxis. Best strategy if no contraindications?...

Question

A 69-year-old with compensated cirrhosis and large esophageal varices is undergoing primary prophylaxis. Best strategy if no contraindications?

Accepted Answer

Nonselective beta-blocker (e.g., carvedilol)

Answer

Aspirin 81 mg daily

Answer

Proton pump inhibitor monotherapy

Answer

TIPS placement now

Answer

No therapy until bleeding occurs

us-abim MCQ (SBA): Variceal Bleeding Prophylaxis