title: Preventing a first episode of esophageal variceal hemorrhage.
abstract: In patients with esophageal varices, hemorrhage is common and often lethal, so we need to take a proactive approach to preventing a first episode of bleeding. All patients with cirrhosis should undergo endoscopy to look for varices. Depending on the size and appearance of the varices and the patient's Child-Pugh grade, prophylactic treatment may be indicated.
authors.affiliation: Department of Medicine, Cleveland Clinic Foundation, OH 44195, USA.
authors.forename: Saira
authors.initials: S
authors.lastname: Khaderi
authors.forename: David
authors.initials: D
authors.lastname: Barnes
mesh_terms: D057911:Angiotensin Receptor Antagonists; D003663:Decision Trees; D019299:Decompression, Surgical; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000188:drug therapy / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D004945:Esophagoscopy; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control*; D006503:Hepatic Veins / Q000503:physiopathology; D006801:Humans; D008026:Ligation; D008103:Liver Cirrhosis / Q000150:complications*; D017082:Portal Pressure; D012307:Risk Factors; D015911:Sclerotherapy / Q000401:mortality; D012720:Severity of Illness Index
chemical_list: D057911:Angiotensin Receptor Antagonists