MediumGastroenterologyCirrhosis and variceal bleeding prophylaxisau-amcau-racp
A 45-year-old man with chronic alcohol use presents with jaundice, ascites and pedal oedema. He has spider naevi and palmar erythema. Ultrasound shows a nodular liver with splenomegaly and ascites, consistent with cirrhosis. Which of the following is the most important initial measure to reduce his risk of variceal haemorrhage?