| His past medical history included intravenous drug abuse and esophageal variceal bleeding, which was controlled by sclerotherapy. |
| Recently, the American College of Gastroenterology recommended endoscopic screening to detect varices in patients with cirrhosis and no previous variceal hemorrhage. |
| The diagnosis of cirrhosis was established by biopsy or by signs of portal hypertension such as gastroesophageal varices, previous variceal bleeding, or ascites. |
| Variceal bleeding is the most catastrophic complication of portal hypertension associated with cirrhotic and noncirrhotic forms of liver disease. |
| In variceal haemorrhage the use of vasopressors or somatostatin analogues are of benefit. |
| Explain videos of an endoscopy of an esophageal variceal bleed. |
