Question 117 · LEK · Upper gastrointestinal bleeding

Which of the following is the most successful method to obtain hemostasis in the case of the bleeding from esophageal varices which could not be stopped endoscopically or when urgent endoscopy is not available?

  1. A. total gastric resection.
  2. B. infusion of antihemorrhagic agents and proton pump inhibitor.
  3. C. Sengstaken-Blakemore tube.
  4. D. propranolol at a dose of 40 mg daily.
  5. E. Foley catheter introduced to the esophagus.
Hint

Think of a device that mechanically compresses the bleeding varices as a bridge to definitive treatment.

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