Is a Gastroscopy Necessary for Cirrhosis Patients?

Liver cirrhosis patients are often advised to undergo gastroscopy, although it is not always mandatory. For individuals in the decompensated stage of cirrhosis—such as those with ascites or a history of esophageal or gastric variceal bleeding—a gastroscopy is strongly recommended. This procedure allows doctors to closely examine the presence and severity of esophageal and gastric varices.

During the examination, preventive measures can be taken if necessary, such as band ligation or sclerotherapy, which help reduce the risk of life-threatening bleeding. These interventions are especially important for patients who have already experienced complications related to portal hypertension.

On the other hand, patients in the compensated phase of cirrhosis may not require immediate gastroscopy. However, if they experience symptoms related to the upper gastrointestinal tract—like indigestion, nausea, or upper abdominal pain—it is still advisable to undergo a gastroscopy to rule out other conditions such as gastritis, peptic ulcers, or even Barrett's esophagus.

Consulting with a specialist is crucial for appropriate management. If any abnormalities are detected during the exam, targeted treatment can be initiated under medical supervision. Ultimately, while gastroscopy is not compulsory for all cirrhosis patients, it plays a vital role in assessing gastrointestinal health and preventing serious complications.