False about Bleeding oesophageal varices is?
A. May occur in the absence of cirrhosis
B. Prognosis depends on the severity of the underlying liver disease
C. Can be treated by transjugular intrahepatic portosystemic shunting
D. Rarely respond to octreotide
A. May occur in the absence of cirrhosis
B. Prognosis depends on the severity of the underlying liver disease
C. Can be treated by transjugular intrahepatic portosystemic shunting
D. Rarely respond to octreotide
Ans.
D. Rarely respond to octreotide
Whilst cirrhosis and portal
hypertension are the commonest causes of variceal haemorrhage, any cause of
portal hypertension will result in varices e.g. portal vein thrombosis or
compression. Prognosis depends on the severity of the underlying liver disease.
Endoscopy to confirm the diagnosis and attempt 10 prevent further blood loss by
oesophageal banding or sclerotherapy should be performed after resuscitation.
Intravenous octreotide is effective treatment in arresting haemorrhage and is
as effective as sclerotherapy in continuous bleeding.
