A 58-year-old man with known cirrhosis presents with large-volume haematemesis. Endoscopy reveals actively bleeding oesophageal varices. Band ligation...

Question

A 58-year-old man with known cirrhosis presents with large-volume haematemesis. Endoscopy reveals actively bleeding oesophageal varices. Band ligation is performed. According to portal hypertension guidelines, what adjunctive therapy should be given acutely?

Accepted Answer

Octreotide infusion and prophylactic intravenous antibiotics

Answer

High-dose PPI only

Answer

Beta-blocker monotherapy

Answer

Tranexamic acid infusion only

Answer

No additional therapy after banding

ca-mccqe1 MCQ (SBA): Acute variceal bleed

A 58-year-old man with known cirrhosis presents with large-volume haematemesis. Endoscopy reveals actively bleeding oesophageal varices. Band ligation is performed. According to portal hypertension guidelines, what adjunctive therapy should be given acutely?