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Optimal interval times for rescoping after an acute variceal haemorrhage
  1. Sauid Ishaq1,2,
  2. Lois Nunn1
  1. 1Gastroenterology Department, DGH, Birmingham City University, Dudley, UK
  2. 2SGU Grenada West Indies,
  1. Correspondence to Professor Sauid Ishaq, Gastroenterology Department, Dudley Group Hospitals, Birmingham City University, Birmingham, UK; Sauid.ishaq{at}dgh.nhs.uk

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We read with great interest the British Society of Gastroenterology guideline by Tripathi et al1 on the management of variceal haemorrhage in patients with cirrhosis. The authors recommend interval of 2–4 weeks for endoscopic variceal ligation (EVL) for secondary prophylaxis in this guidance.

However, confusion remains due to the wide variation in the recommendations concerning the optimal timings of variceal band ligation (VBL) after index endoscopy. The recommendations from the leading endoscopic guidelines are …

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