Primary prophylaxis of variceal bleeding

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


Primary prevention of variceal bleeding is an important and long-debated topic in the management of patients with cirrhosis and esophageal varices. Prophylaxis is recommended for high-risk patients with small esophageal varices (advanced liver disease and/or presence of red wale marks) and those with medium/large varices. Nonselective β-blockers and endoscopic band ligation have been shown to be equally effective in primary prevention of variceal bleeding and are the only currently recommended therapies. Controversy still exists, however, regarding which one of these strategies is preferred. This article reviews the established recommendations and recent advances in the prevention of first esophageal variceal bleeding.

Original languageEnglish (US)
Pages (from-to)335-345
Number of pages11
JournalClinics in liver disease
Issue number2
StatePublished - May 2014


  • Cirrhosis
  • Endoscopy
  • Gastrointestinal hemorrhage
  • Portal hypertension
  • β-blockers

ASJC Scopus subject areas

  • Hepatology


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