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Old 06-05-2012
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GIT Sequence of Management of Esophageal Varicies

Is this sequence correct?

If active bleeding-> ABC's->Medical Tx:Octreotide/Terlipressen-> still actively bleeding-> Endoscopic sclerotherapy-> No response or endoscopy still not yet available-> Balloon Tamponade-> controlled bleeding.

If elective endoscopic Tx in a stable pt-> Band ligation
If all endoscopic procedures and medical Tx fail-> TIPS/Shunt operations

If Prophylaxis needed in a cirrhotic pt -> propanolol.

Your input please..thank you.
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