Abstract
Recent advances in the management of variceal haemorrhage include injection of cyanoacrylate and the use of banding ligation. New pharmacological agents, such as somatostatin and octreotide, have also proved to be effective in controlling variceal haemorrhage. The transjugular intrahepatic porto-systemic shunt (TIPS) represents an effective rescue when other treatment modalities fail. A multi-disciplinary approach should be emphasized in the management of this high-risk complication of portal hypertension.
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