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Abstract portal hypertension, which can result from multiple causative factors, leads to development of collateral venous cir:~ulation from the portal system to the systemic venous circulation. The most important of these collaterals are the oesophageal varices which are associated with the highest rate of complications. A high rnortality rate has been associated with bleeding from these varices. The management of the complications of portal hypertension remains a major challenge. Four types of therapies are now available for use either individually or in combination for the management of patients with bleeding oesophageal varices. These include endoscopic sclerotherapy, balloon tamponade, medical treatment and surgical treatment. The aim of this essay is to study the recent trends in the treatment of patients with oesophageal vances wlle\her ns |