Case based Panel Discussion: 52 yr female with MASH cirrhosis and recurrent hematemesis. Endoscopy shows large esophageal and gastric varices

Sub-topics:
1. What factors you will look for recurrent bleed in this patient (High           HVPG/underlying PVT etc)
2. Is endoscopic management sufficient in hands of excellent endoscopist
3. Role of Dynamic contrast CT in planning further action: Discuss
4. Is it an indication for TIPS/BRTO/ EUS guided therapy/ Transplant: Discuss
5. Data on Pre-emptive TIPS: Discuss