Question

A 54-year-old man with cirrhosis presents for surveillance. Endoscopy shows medium-sized oesophageal varices without red wale signs. According to portal hypertension guidelines, which prophylactic therapy is appropriate?

Accepted Answer

Non-selective beta-blocker (e.g., nadolol)

Answer

No prophylaxis required for medium varices

Answer

Aspirin 81 mg daily

Answer

High-dose PPI

Answer

Warfarin therapy

Practice question

A 54-year-old man with cirrhosis presents for surveillance. Endoscopy shows medium-sized oesophageal varices without red wale signs. According to portal hypertension guidelines, which prophylactic therapy is appropriate?