Portal hypertension / variceal bleeding prevention
- Treat clinically significant portal HTN
- Nonselective beta blocker lowers portal pressure
- carvedilol often preferred if tolerated
- Banding if beta blocker unsuitable
- Acute bleed needs vasoactive drug + endoscopy
- Antibiotic prophylaxis during acute variceal bleed
- Secondary prevention: beta blocker + banding
Use at a glance
- Treat clinically significant portal HTN
Treatment options
- Acute bleed needs vasoactive drug + endoscopy
- Antibiotic prophylaxis during acute variceal bleed
Practical pearls
- Secondary prevention: beta blocker + banding
Choosing treatment
- Nonselective beta blocker lowers portal pressure
- carvedilol often preferred if tolerated
- Banding if beta blocker unsuitable
Self-check
- What should be treated in Portal hypertension / variceal bleeding prevention?
clinically significant portal HTN.
- What is needed for Acute bleed in Portal hypertension / variceal bleeding prevention?
vasoactive drug + endoscopy.
Drugs used for this (3)
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