Esophageal Varices Treatment
The treatment of esophageal varices is directed toward reducing the risk of bleeding. Treatment for esophageal varices includes avoidance of alcohol, medications to reduce the risk of bleeding, and surgical procedures to stop variceal bleeding.
Treatment for esophageal varices includes:
- Do not drink alcohol.
- Sclerotherapy for esophageal varices:
- To stop bleeding and reduce the risk of bleeding
- Injection of medication into the varices to shrink veins
- Ligation of esophageal varices:
- Closing the varices by placing bands around them through an endoscope
- Shunt surgery for esophageal varices:
- Redirecting blood flow around the varices
- Other medications:
Treatment for bleeding due to esophageal varices may include:
- Intravenous fluids
- Upper GI endoscopy to control bleeding varices
- Blood transfusion
- Medications for bleeding varices:
For more information:
Esophageal Varices Questions For Doctor
The following are some important questions to ask before and after the treatment of esophageal varices.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for complications?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Esophageal Varices Specialist
Physicians from the following specialties evaluate and treat esophageal varices:
Esophageal Varices Surgery
Surgical shunts direct blood flow around the varices:
- Distal splenorenal shunt
- Mesocaval shunt
- Portocaval shunt
- Transjugular intrahepatic portosystemic shunt
Continue to Esophageal Varices Home Care
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- Schmitz RJ, Sharma P, Badr AS, Qamar MT, Weston AP. Incidence and management of esophageal stricture formation, ulcer bleeding, perforation, and massive hematoma formation from sclerotherapy versus band ligation. Am J Gastroenterol. 2001 Feb;96(2):437-41. 
- Shahi HM, Sarin SK. Prevention of first variceal bleed: an appraisal of current therapies. Am J Gastroenterol. 1998 Dec;93(12):2348-58.