Emergency variceal band ligation is the first step to achieve hemostasis once the patient has been medically stabilized.
This video presents the case of a 91-year-old cirrhotic man, presenting with hepatitis C virus (HCV). He was admitted to the emergency department for massive hematemesis. Blood tests showed hemoglobin levels at 8 g/dL and the patient was hemodynamically stable. Sandostatin® injection, proton pump inhibitors (PPI), antibiotics, vitamin K were started immediately to a full dose regimen. Once fresh frozen plasma and blood transfusion have been carried out, an endoscopy was scheduled within the first 12 hours.
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