All are pa of management of acute variceal haemorrhage except: (A) Sengstaken-Blakemore tube, (B) Octreotide, (C) Band ligation, (D) Beta blockers
Answer is D. The medical management of acute variceal haemorrhage includes the use of vasoconstricting agents, usually somatostatin or octreotideBalloon tamponade (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.Endoscopic intervention is used as first-line treatment to control bleeding acutely. Variceal band ligation is used to control acute bleeding in over 90% of casesWhen bleeding continues from gastric varices, consideration for a transjugular intrahepatic poosystemic shunt (TIPS) should be madeBeta blockade may be of adjunctive benefit in patients who are having recurrent variceal band ligationRef: Harrison 19e pg: 2064