A 56-year-old man with newly diagnosed compensated cirrhosis has platelets 86 x 10^9/L and liver stiffness 28 kPa. He has no history of bleeding and

Question

A 56-year-old man with newly diagnosed compensated cirrhosis has platelets 86 x 10^9/L and liver stiffness 28 kPa. He has no history of bleeding and no ascites. What is the most appropriate management?

Accepted Answer

Arrange screening endoscopy or start non-selective beta-blocker according to portal hypertension assessment

Answer

Band ligation every month without endoscopy as the preferred next management strategy in this patient

Answer

Aspirin for primary prophylaxis as the preferred next management strategy in this patient

Answer

No assessment until the first bleed as the preferred next management strategy in this patient

Answer

Long-term proton pump inhibitor for variceal prevention as the preferred next management strategy

Oesophageal varices screening — ESEGH MCQ

A 56-year-old man with newly diagnosed compensated cirrhosis has platelets 86 x 10^9/L and liver stiffness 28 kPa. He has no history of bleeding and no ascites. What is the most appropriate management?