Esophageal varices: Primary and secondary prophylaxis

Humberto C. Gonzalez, William Sanchez

Research output: Chapter in Book/Report/Conference proceedingChapter


Esophageal varices are common in cirrhosis and their presence correlates with increasing severity of liver disease. Esophageal varices are the manifestation of clinically significant portal hypertension defined by a hepatic venous pressure gradient. Prevention of variceal hemorrhage is crucial in the management of the patient who suffers from cirrhosis because it is associated with a high rate of morbidity and mortality. Screening guidelines and different modalities for primary and secondary prophylaxis are described in this chapter.

Original languageEnglish (US)
Title of host publicationComplications of Cirrhosis
Subtitle of host publicationEvaluation and Management
PublisherSpringer International Publishing
Number of pages9
ISBN (Electronic)9783319136141
ISBN (Print)9783319136134
StatePublished - Jan 1 2015


  • Endoscopic band ligation
  • Esophageal varices
  • Nonselective ß-blockers
  • Primary prophylaxis
  • Secondary prophylaxis

ASJC Scopus subject areas

  • General Medicine


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