By retrofletion the gastric cardia is inspected observing the exact site of the bleeding. One of the most ominous complications of portal hypertension is hemorrhage from esophageal or gastric varices. Patients who bleed from varices have a poor long-term prognosis, irrespective of treatment and few survive more than 5 years. In view of the prognosis of portal hypertensive bleeding, it is clear that poorurgent treatment of acute variceal bleeding and interval management to prevent rebleeding is essential.
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