In a patient with compensated liver cirrhosis presented with history of variceal bleed. The treatment of choice in this patient is -

When a cirrhotic patient presents with upper GI bleed, the single most impoant diagnostic as well as therapeutic procedure to be performed is endoscopy (although after intravenous fluid resuscitation and correction of coagulation abnormalities) If varices are found they are treated by either Endoscopic variceal ligation or Endoscopic Sclerotherapy Endoscopic variceal ligation is now the t/t of choice (has replaced sclerotherapy) Ref : Schwaz 9/e p1113