Isophageal Bleeding - What Do You Do?

This is the patient that has a acute or current verseal bleeding, refract rcides, bud chari, cindrum or hepatic hydro thorax a. The whole point of this is to decompress the portal system. And this is done a through inoscopic phleroscopic method. So for this patient, you want to start with your standard measures of resuscitation and then move quickly towards endoscopic treatment. If the patient has uncontrolled bleeding, even with a doscope, then i would move towards the tips.