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PDF | Prevention of the development of esophageal varices is controversial and not fully documented. At the same time, variceal bleeding is the most. cirrhosis is variceal rupture; the severity of liver disease correlates with the presence of varices and risk of bleeding. Bleeding esophageal varices:.PDF | Esophageal varices are the major complication of portal hypertension. It is detected in about 50% of cirrhosis patients, and approximately 5-15%.