GI Surgery & Hepatobiliary · NEET PG Preparation Surgery
A 45-year-old male presents with recurrent episodes of massive upper gastrointestinal bleeding. He has a history of chronic alcohol abuse and cirrhos…
Practice question from GI Surgery & Hepatobiliary (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.
medium · MCQ · Q-A47C8D
A 45-year-old male presents with recurrent episodes of massive upper gastrointestinal bleeding. He has a history of chronic alcohol abuse and cirrhosis with portal hypertension. Upper endoscopy shows large esophageal varices. Emergency sclerotherapy is performed, but bleeding recurs within 2 hours. Which of the following is the most appropriate next step in management?
- A.Repeat endoscopic band ligation
- B.Transjugular intrahepatic portosystemic shunt (TIPS)Correct answer
- C.Emergency mesocaval shunt
- D.Orthotopic liver transplantation
Solution
In patients with acute variceal bleeding refractory to endoscopic therapy, a Transjugular Intrahepatic Portosystemic Shunt (TIPS) is the procedure of choice to rapidly decompress the portal system and control hemorrhage.
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