A 68-year-old with compensated cirrhosis and medium esophageal varices on screening endoscopy. Best primary prophylaxis to prevent first variceal blee...

Question

A 68-year-old with compensated cirrhosis and medium esophageal varices on screening endoscopy. Best primary prophylaxis to prevent first variceal bleed?

Accepted Answer

Nonselective beta‑blocker (e.g. propranolol or nadolol)

Answer

Endoscopic variceal ligation every 2 weeks only

Answer

carvedilol

Answer

Propranolol plus nitrates

Answer

Aspirin for portal flow

gastroenterology MCQ (SBA): AASLD Practice Guidance (2024): Portal Hypertension and Varices in Cirrhosis

A 68-year-old with compensated cirrhosis and medium esophageal varices on screening endoscopy. Best primary prophylaxis to prevent first variceal bleed?