Algorithm for the Prevention of Recurrent Variceal Bleeding (Secondary Prophylaxis) - Flowchart
Algorithm for the Prevention of Recurrent Variceal Bleeding (Secondary Prophylaxis) - Flowchart Esophageal Varices Esophageal Varices
«Flowchart»

β-Adrenergic blocking agent + EVL

β-Adrenergic blocking agent + EVL

β-Adrenergic blocking agent + EVL

β

Continue β-adrenergic blocking agent + EVL to obliteration

Continue β-adrenergic blocking agent + EVL to obliteration

Continue β-adrenergic blocking agent + EVL to obliteration

β

Recurrent bleeding

Recurrent bleeding

Recurrent bleeding

Yes

Yes

Yes

No

No

No

Add β-adrenergic blocking agent or EVL, as required

Add β-adrenergic blocking agent or EVL, as required

Add β-adrenergic blocking agent or EVL, as required

β

TIPS

TIPS

TIPS

Patient adherent to β-adrenergic blocking agent + EVL

Patient adherent to β-adrenergic blocking agent + EVL

Patient adherent to β-adrenergic blocking agent + EVL

β

Yes

Yes

Yes

No

No

No

End

End

End

EVL, Endoscopic variceal ligation; TIPS, transjugular intrahepatic portosystemic shunt.

EVL, Endoscopic variceal ligation; TIPS, transjugular intrahepatic portosystemic shunt.

EVL, Endoscopic variceal ligation; TIPS, transjugular intrahepatic portosystemic shunt.

EVL TIPS