Liver & GIT
All can be used as endoscopic sclerosants in the treatment of variceal bleeding, except: (AIIMS Nov 10)
Patient may have low BP due to hypovolemia than 1st step in the management is to raised the BP. (Hemodynamic stability)
Blood Transfusion should be done to raise the BP (blood for blood)!!!
Treatment to stop acute bleeding
a. Sclerotherapy b. Sengstaken tube c. Octreotide d. Vasopressin e. Terlipressin
2. N butyl – cyanoacrylate (glue injection)
3. Absolute alcohol / phenol
4. Ethanolamine maleate
5. Na tetradecyl SO4
Extra Edge: Acetic acid is not use as a sclerosing agent.