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Acute Variceal Bleeding

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Endoscopic Banding Ligation<br />

(EBL) vs Injection Sclerotherapy<br />

• Data from RCTs and Meta-analysis<br />

support EBL as the preferred therapy<br />

– Better initial control of bleeding<br />

– Less adverse events<br />

– Improved mortality<br />

Lo G et al. Hepatology 1997<br />

Villanueva et al. J Hepatol 2006<br />

Garcia-Pagan et al. Nat Clin Pract Gastroenterol Hepatol 2005

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