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Dr. Shahid M. Malik discusses how to treat patients who are admitted with an active variceal bleed.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Discuss current standard of care in patients with acute esophageal variceal bleeding.
  • Identify patients who are at a high risk of re-bleeding or mortality with variceal hemorrhage.
  • Describe the role for ‘early TIPS’ in patients with esophageal variceal hemorrhage.

Reading Resources:

  1. Boyer TD, Haskal ZJ: American Association for the Study of Liver Diseases. The Role of Transjugular Intrahepatic Portosystemic Shunt (TIPS) in the Management of Portal Hypertension: Update 2009. Hepatology. 2010 Jan;51(1):306.
  2. Garcia-Pagan JC, Caca K, Bureau C, et al. Early use of TIPS in patients with cirrhosis and variceal bleeding. New England Journal of Medicine. 2010 June24;362(25):2370-9.
  3. Sen A, Malik SM, Al-Khafaji A. The TIPSing Point. Critical Care. 2013 July 17;17(4):323


Dr. Shahid M. Malik has no relevant relationships with any entities producing health care goods or services.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 10/7/2014 | Last Modified On: 10/7/2014 | Expires: 10/7/2015

This course has been expired.