Esophageal varices are dilated, tortuous veins within the wall of the esophagus. They are most commonly seen in patients with chronic liver disease that has led of cirrhosis and subsequent portal hypertension. Massive varices may bleed, causing severe hemorrhage, a life threatening complication. Grade 2 varices are enlarged, tortuous esophageal varices occupying less than one third of the lumen. Currently, prevention of variceal bleeding is by using non selective beta blockers to reduce splanchnic blood flow and portal pressure. Foe those who cannot tolerate beta blockers or in whom they are contraindicated, Endoscopic Band Ligation (EBL) is performed.
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