A 41-year-old patient was admitted to the intensive care unit with haemorrhagic shock due to gastric bleeding. He has a history of hepatitis B during the last 5 years. The source of bleeding are esophageal veins. What is the most effective method for control of the bleeding?

Answer options

1. Introduction of obturator nasogastric tube
2. Administration of plasma
3. Hemostatic therapy
4. Intravenous administration of pituitrin
5. Operation

Explanation

Esophageal Veins begin to dilate and swell as a result of increased blow flow. Cirrhosis is the most common cause of portal hypertension which leads to esophageal bleeding. The goal of treatment is to stop acute bleeding as soon as possible by Blakemore obturator tube.