RT Journal Article SR Electronic T1 Preventing a first episode of esophageal variceal hemorrhage JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 235 OP 244 VO 75 IS 3 A1 Khaderi, Saira A1 Barnes, David YR 2008 UL http://www.ccjm.org/content/75/3/235.abstract 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.