Which of the following treatment modalities is not used for management of acute blood loss due to ruptured esophageal varices: (A) Endoscopic sclerotherapy, (B) Endoscopic band ligation, (C) Octreotide, (D) Propanalol
Answer is D. Management of acute variceal bleeding Admit to ICU Blood resuscitation (upto Hb level of 8gm/dl) In patients with severe Coagulopathy - FFP and platelets Sho time antibiotic prophylaxis - ceftriaxone1gm/day IV often given Vasopressin( IV dose of 0.2-0.8 units/ min Somatostatin and octreotide Endoscopic sclerotherapy Shunt therapy or TIPS - refractory bleeding Ref: Sabiston 20th edition Pgno :1437-1440