A 62-year-old man with known cirrhosis presents with large-volume haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After...

Question

A 62-year-old man with known cirrhosis presents with large-volume haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After initial resuscitation, what additional therapy is recommended as part of first-line management?

Accepted Answer

Vasoactive therapy with octreotide or terlipressin and prophylactic antibiotics

Answer

Oral proton pump inhibitor alone

Answer

Aspirin to prevent portal vein thrombosis

Answer

Routine high-dose corticosteroids

Answer

No medication; endoscopic band ligation alone is sufficient

ca-mccqe1 MCQ (SBA): Variceal upper gastrointestinal bleeding

A 62-year-old man with known cirrhosis presents with large-volume haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After initial resuscitation, what additional therapy is recommended as part of first-line management?