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Fig. 3: Prophylaxis of variceal bleeding in cirrhosis. Preprimary prophylaxis is aimed at preventing esophagogastric varices (EV) from developing. The goal of primary prophylaxis is to prevent a first variceal bleeding episode once medium or large varices have formed. Secondary prophylaxis is used to prevent recurrent variceal bleeding. Photo by: Lianne Friesen and Nicholas Woolridge