A 60-year-old man with a history of alcohol use presents with melena and hypotension. Endoscopy reveals bleeding oesophageal varices. According to Can...

Question

A 60-year-old man with a history of alcohol use presents with melena and hypotension. Endoscopy reveals bleeding oesophageal varices. According to Canadian gastroenterology guidance, which combination of treatments is indicated acutely?

Accepted Answer

Octreotide infusion and endoscopic band ligation plus prophylactic antibiotics

Answer

High-dose proton pump inhibitor only

Answer

Beta blocker alone

Answer

Surgical portocaval shunt as first-line

Answer

Observation; variceal bleeds usually stop spontaneously

ca-mccqe1 MCQ (SBA): Acute oesophageal variceal bleeding

A 60-year-old man with a history of alcohol use presents with melena and hypotension. Endoscopy reveals bleeding oesophageal varices. According to Canadian gastroenterology guidance, which combination of treatments is indicated acutely?