5-Minute Clinical Consult: Esophageal Varices

Esophageal Varices

Surgery/Other Procedures

Endoscopic variceal ligation- preferred approach to those who cannot tolerate beta-blockers.
Endoscopic sclerotherapy
Transjugular intrahepatic portasystemic shunt (TIPS)
Portacaval shunt
Esophageal transection
Liver transplantation
In patients with current or prior bleeding from esophageal varices, endoscopic variceal ligation is superior to endoscopic sclerotherapy (8)[A].

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