Acute Management

• !Variceal UGIB

Chronic Management: Prevention

None or small:

• Monitored by Upper Endoscopy (Gastroscopy)
  • None: Q2-3 yr
  • Small: Q1-2 yr

Large

• 1st line: Non-cardioselective Beta Blocker (”-prolol”) → Reduce mortality
  • nadolol, Propranolol, carvedilol
• 2ed line: EVL - Endoscopic Varicial Ligation (Band)