Decompensated Alcoholic Cirrhosis Had in Medicine / Internal Medicine — 70yo Man | Gastroenterology | SMLE Q#12031

SMLE Question #12031

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 70-year-old man with decompensated alcoholic cirrhosis had hematemesis from large esophageal varices treated with endoscopic variceal ligation 1 month ago. He is currently hemodynamically stable with no evidence of ongoing gastrointestinal bleeding and continues lactulose and spironolactone. What is the best long-term intervention to reduce the risk of recurrent variceal bleeding?

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