The next day, an endoscopic evaluation was performed 8 varices were ligated. Bleeding from esophageal varices is the most serious and potentially fatal complication of portal hypertension. The rise of portal pressure over 12 mm Hg is necessary for the development of varices. There is not a good correlation between the degree of portal hypertension and the risk of variceal bleeding. However¸ positive correlation between the height of intravariceal pressure and the risk of variceal bleeding exists. Large varices and varices with red spots indicate higher intravariceal pressure. About 30% of the patients may die during the first episode of variceal bleeding. In those who survive¸ rebleeding occurs in 60% of cases with mortality rate exceeding 30%.
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