A 50-year-old man presents with melena and hypotension. After initial resuscitation, gastroscopy reveals oesophageal varices with active bleeding. Acc...

Question

A 50-year-old man presents with melena and hypotension. After initial resuscitation, gastroscopy reveals oesophageal varices with active bleeding. According to portal hypertension guidelines, which combination of therapies is MOST appropriate acutely?

Accepted Answer

Endoscopic band ligation plus octreotide infusion and antibiotics

Answer

Endoscopic band ligation alone

Answer

Octreotide alone

Answer

Non-selective beta blocker alone

Answer

Transjugular intrahepatic portosystemic shunt (TIPS) without endoscopy

ca-mccqe1 MCQ (SBA): Oesophageal variceal haemorrhage

A 50-year-old man presents with melena and hypotension. After initial resuscitation, gastroscopy reveals oesophageal varices with active bleeding. According to portal hypertension guidelines, which combination of therapies is MOST appropriate acutely?