This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Medicine
All are pa of management of acute variceal haemorrhage except 
Select and explain. 
A. Sengstaken-Blakemore tube, B. Octreotide, C. Band ligation, D. Beta blockers
D: Beta blockers
Answer: D: Beta blockers 
Explanation: 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