Variceal Bleeding Management

Question 1

What is used for acute management of variceal bleeding?

Answer 1

Ocreotide which causes vasoconstriction of splanchnic vessels
Terlipressin
Somatostatin

-> blood transfusions for significant blood loss

Question 2

What is given for primary prophylaxis of variceal haemorrhage?

Answer 2

Propanolol which reduces portal pressure gradient and azygous blood flow and variceal pressure

Question 3

What is given to prevent infection in variceal bleeding?

Answer 3

Co-amoxicillin