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 In a patient with compensated liver cirrhosis presented with history of variceal bleed. The treatment of choice in this patient is - and explain in detail?
When a cirrhotic patient presents with upper GI bleed, the single most impoant diagnostic as well as therapeutic procedure to be performed is endoscopy (although after intravenous fluid resuscitation and correction of coagulation abnormalities) If varices are found they are treated by either Endoscopic variceal ligation or Endoscopic Sclerotherapy Endoscopic variceal ligation is now the t/t of choice (has replaced sclerotherapy) Ref : Schwaz 9/e p1113