Once patients with Cirrhosis start bleeding inside the stomach, what could be done about it?
Patients with cirrhosis should undergo an upper endoscopy to look for varices. This involves a short procedure in which a small tube with a camera on the end is swallowed. Patients with varices should generally be treated with beta blockers (a medicine that lowers the pressure inside of the varices). Patients who have bled from varices may require a procedure known as “variceal band ligation” during which the varices are surrounded by small rubber bands, which stop blood flow to them. Variceal band ligation is usually performed in an outpatient setting during an endoscopy. Patients who have had recurrent bleeding despite variceal band ligation or those in whom bleeding cannot be controlled may require a TIPS procedure.
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