Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist surgery Home Care liver diet taking control warning signs Complications Underlying Cause Anatomy

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:


Treatment for bleeding due to esophageal varices may include:

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?
  • 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

Last Updated: Dec 10, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed Esophageal Varices References
  1. Biecker E, Schepke M, Sauerbruch T. The role of endoscopy in portal hypertension. Dig Dis. 2005;23(1):11-7. [15920321]
  2. D'Amico G, Pagliaro L, Bosch J. Pharmacological treatment of portal hypertension: an evidence-based approach. Semin Liver Dis. 1999;19(4):475-505. [10643630]
  3. Grace ND. Diagnosis and treatment of gastrointestinal bleeding secondary to portal hypertension. American College of Gastroenterology Practice Parameters Committee. Am J Gastroenterol. 1997 Jul;92(7):1081-91. [9219775]
  4. Hegab AM, Luketic VA. Bleeding esophageal varices. How to treat this dreaded complication of portal hypertension. Postgrad Med. 2001 Feb;109(2):75-6, 81-6, 89. [11272695]
  5. 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. [11232687]
  6. Shahi HM, Sarin SK. Prevention of first variceal bleed: an appraisal of current therapies. Am J Gastroenterol. 1998 Dec;93(12):2348-58. [9860391]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.