A 58-year-old man with compensated alcohol-related cirrhosis (Child-Pugh A) is found on endoscopy to have medium-sized oesophageal varices with red wa...

Question

A 58-year-old man with compensated alcohol-related cirrhosis (Child-Pugh A) is found on endoscopy to have medium-sized oesophageal varices with red wale marks. He has not bled previously. Which prophylactic strategy is most appropriate?

Accepted Answer

Non-selective beta blocker therapy

Answer

No prophylaxis is necessary until first bleed

Answer

Proton pump inhibitor therapy

Answer

Low-dose acetylsalicylic acid

Answer

Balloon tamponade

ca-mccqe1 MCQ (SBA): Primary prophylaxis of oesophageal varices

A 58-year-old man with compensated alcohol-related cirrhosis (Child-Pugh A) is found on endoscopy to have medium-sized oesophageal varices with red wale marks. He has not bled previously. Which prophylactic strategy is most appropriate?