Javed Iqbal Farooqi, Wasim Jafri, Najibul Haq, Saad Khalid Niaz, Saeed Hamid, Zaigham Abbas, Ghiasun Nabi Tayyab, Arif Amir Nawaz, Muhammad Umar, Jan Muhammad Memon.
Management of variceal bleeding: PSG guidelines 2006.
J Pak Med Assoc Jan ;57(10):505-11.

Pakistan has some unique factors like: (1) Prevalence of hepatitis and liver cirrhosis and its associated complications is on a rise, (2) Access to health care is limited, (3) Lack of diagnostic facilities like endoscopic equipment, cost of accessories and maintenance is also high, (3) Training facilities for healthcare workers are deficient, (4) Patient`s attitude towards specialized care is equivocal, (5) Issues of affordability (6) Lack of more definitive therapies for cirrhotic patients including Liver Transplant and TIPS. Therefore Pakistan Society of Gastroenterology (PSG) felt the need to develop "National Guidelines for the Management of Variceal Bleeding" taking into consideration all the above issues. This is a Clinical Guideline.

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