PT - JOURNAL ARTICLE AU - Khaderi, Saira AU - Barnes, David TI - Preventing a first episode of esophageal variceal hemorrhage DP - 2008 Mar 01 TA - Cleveland Clinic Journal of Medicine PG - 235--244 VI - 75 IP - 3 4099 - http://www.ccjm.org/content/75/3/235.short 4100 - http://www.ccjm.org/content/75/3/235.full SO - Cleve Clin J Med2008 Mar 01; 75 AB - In patients with esophageal varices, hemorrhage is common and often lethal, so we need to take a proactive approach to preventing a first episode of bleeding. All patients with cirrhosis should undergo endoscopy to look for varices. Depending on the size and appearance of the varices and the patient’s Child-Pugh grade, prophylactic treatment may be indicated.