<prompt> Best test for oesophageal varices isCT- scanGastro- oesophagoscopyTomographyUltrasound  <response>: B. i.e. Gastro - oesophagoscopy 1089 - B L 897 - S. Das 5thEndoscopy - upper GI endoscopy represents the most reliable single technique as it shows the oesophageal varix and bleeding point Dilated longitudinal veins running a Zig- Zag course Diffuse esophageal spasm is best diagnosed by ManometryManagement of bleeding oesophageal varices Blood transfusion Correct coagulopathy Oesopageal balloon tamponade Sengstaken - Blakemore tube Drug therapy Vasopressin Octreotide Endoscopic sclerotherapy or banding Assess portal vein potency Doppler USG or CT Transjugular intrahepatic portosystemic stent shunts TIPSS Contraindicated in portal vein occlusion Surgery- Portosystemic shunts- Oesophageal transaction- Splenectomy and gastric devascularisation Commonest cause of acute upper GI haemorrhage - Peptic ulcer 