Long-term outcomes after endoscopic sequential therapy in patients with gastroesophageal variceal bleeding as the first decompensated event

Key Points

• Rebleeding significantly predicts death in patients with gastroesophageal variceal bleeding, impacting long-term outcomes.
• Independent analysis identifies rebleeding as the sole predictor of mortality, emphasizing its importance in treatment plans.
• Interventions like salvage transjugular intrahepatic portosystemic shunt (TIPS) may be critical for high-risk patients with recurrent bleeding.
• Findings suggest a need for more aggressive management strategies in patients experiencing decompensated liver disease and bleeding episodes.