TY - JOUR T1 - Management of variceal haemorrhage in cirrhosis: the relevance of the risk stratification JF - Gut JO - Gut SP - 1302 LP - 1303 DO - 10.1136/gut.2010.223024 VL - 60 IS - 9 AU - Lucio Amitrano AU - Maria Anna Guardascione AU - Antonella Menchise AU - Francesco Manguso AU - Antonio Balzano Y1 - 2011/09/01 UR - http://gut.bmj.com/content/60/9/1302.abstract N2 - We read with interest the recent article by Mehta et al updating the diagnosis and the primary and secondary prophylaxis of variceal haemorrhage (VH) in cirrhosis.1 We would like to comment on the relevance of the degree of liver failure on the current strategies of management of VH.2 3 Prognosis after the bleeding episode has improved greatly in the last two decades, with the implementation of patient intensive care management, the use of vasoactive drugs, routine prophylactic antibiotics and band ligation, and with efficacious schedules of rebleeding prophylaxis.4 5 Nevertheless, in a recent classification VH, either in compensated or decompensated patients, defines the stage IV of cirrhosis bearing a mortality rate of 57% at 1 year.6 These results come … ER -