Ľudovít Lukáč, Martin Huorka, Milan Vyskočil, Tibor Hlavatý
Variceal hemorrhage is a frequent complication of cirrhosis. The risk of bleeding is 20-30 % in the first 2 years. Mortality of the first episode of bleeding reaches 30-50%. In the past sclerotherapy was used to stop the acute bleeding and also as prophylactic therapy. Because of high rates of adverse effects sclerotherapy is not a worthwhile treatment. Endoscopic band ligation has replaced endoscopic sclerotherapy for the acute treatment of bleeding esophageal varices and secondary prophylaxis. In primary prophylaxis there is not consensus about it´s use.This treatment should be reserved for patients who are unable to take beta-blockers.