Administration of propranolol and endoscopic band ligation of the remaining varices.
Nonselective ß-blockers such as propranolol provide good prophylaxis against bleeding in cirrhotic patients with portal hypertension. However, endoscopic obliteration of esophageal varices also is warranted to reduce the chance of recurrent hemorrhage, and band ligation has been shown to be superior to sclerotherapy for obliteration of these varices.
