You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Treatment of choice for bleeding esophageal and gastric varices and explain in detail?
Endoscopic Variceal Ligation For control of acute variceal bleeding EVL has been found to be as effective as EST. Technically more difficult than EST in the presence of massive bleed bf due to reduction in filed of view Variceal recurrence rates is higher in EVL since para oesophageal varices (perforating veins) are not obliterated Not suitable for small varices (grade I, II) EVL is associated with lesser complications and rebleeding Variceal eradication in fewer sessions but higher recurrence of varices Ref: Sabiston 20th edition Pgno : 1439