First we try to perform rubber bands ligation but Although the exact site of bleeding was identified, with the ligating apparatus it was more difficult to identify the bleeding, because this one darkens the visibility so sclerotherapy was used. We personally prefer the rubber band to sclerotherapy. Therapeutic aims in acute variceal bleeding The important point is to treat the patient and not just the source of bleeding. The specific aims are: Correct hypovolaemia; Stop bleeding as soon as possible; Prevent early rebleeding; Prevent complications associated with bleeding; Prevent deterioration in liver function.
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