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Clinical Images

Decisions, Decisions

Cyriac Abby Philips, Lovkesh Anand, Ashok Choudhury

January 30, 2015

A 48 year-old male with chronic alcoholism presented to the emergency room with multiple episodes of hemetemesis associated with symptoms of orthostasis. He had undergone esophageal variceal band ligation three weeks prior for similar complaints, but was consuming alcohol regularly afterwards. Upper gastrointestinal endoscopy revealed the presence of multiple columns of small high-risk varices with stigmata of recent hemorrhage on one of the columns. The patient again underwent endoscopic variceal band ligation using Speedband Superview Super 7TM multi-band ligatorover the bleeding site. Post endotherapy, the site of hemorrhage demonstrated the classic sign of haemostasis achievement.



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1. deFranchis R, Baveno V Faculty. Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension.JHepatol. 2010 Oct; 53(4):762-8.

2. Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis. N Engl J Med. 2010 Mar 4; 362(9):823-32.

3. Cremers I, Ribeiro S. Management of variceal and nonvariceal upper gastrointestinal bleeding in patients with cirrhosis. Therapeutic Advances in Gastroenterology 2014;7(5):206-216.