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The aim of treatment is the control of bleeding from oesophageal varices. If there are infrequent mild bleeding episodes then these may be managed by endoscopic sclerotherapy of the varices. If there is more severe haemorrhage then portacaval anastomosis may bring relief of the portal hypertension.
Liver transplantation is indicated when the liver is failing irreversibly. Note that a portacaval anastomosis may interfere with the success of liver transplants.