Which one of the following is not a treatment of Gastroesophageal Variceal hemorrhage ?: (A) Sclerotherapy, (B) Sengstaken tube, (C) Trans-jugular intrahepatic Porta-caval shunt, (D) Gastric freezing
Answer is D. Ans. (d) Gastric freezingRef.: Harrison 18thed, / 2598* Endoscopy followed by endoscopic variceal ligation should be performed.* Balloon tamponade with Sengstaken Blakemore tube or Minnesota tube can be used in patients who cannot get endoscopic therapy immediately or who need stabilization prior to endoscopic therapy.* Some endoscopists will use variceal injection therapy (sclerotherapy) as initial therapy, particularly when bleeding is vigorous.* Shunt therapy (Transjugular intrahepatic portacaval shunt) has been shown to control refractory bleeding. Pharmacologic Therapy for Variceal Hemorrhage* Vasopressin, most potent vasoconstrictor, use is limited by side effects.* Somatostatin and octreotide* Octreotide is the preferred pharmacological agent