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  1. Stuart McPherson, specialist registrar1,
  2. Colin John Rees, consultant gastroenterologist (Colin.rees@sthct.nhs.uk)1
  1. 1 Department of Gastroenterology, South Tyneside Healthcare NHS Foundation Trust, South Shields NE34 0PL
  1. Correspondence to: C J Rees

    Mr Bond is a 42 year old man with alcoholic cirrhosis who was admitted to our unit with haematemesis. He had had three previous admissions with alcohol related problems and had twice bled from oesophageal varices. The varices had been treated by sclerotherapy and banding, and he was taking propranolol 40 mg twice daily as secondary prophylaxis. His most recent endoscopy had shown three, barely noticeable oesophageal varices.

    Mr Bond has a history of excessive alcohol intake over five years, with no periods of abstinence. He …

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