In an individual with a history of long standing alcohol abuse and massive hematemesis, what is the most likely diagnosis?
Esophageal variceal bleeding
What surgical treatment alleviates esophageal varices in individuals with portal hypertension?
TIPS (transjugular intrahepatic portosystemic shunt) procedure is the definitive treatment for portal hypertension
What other pathologies are in the differential for hematemesis?
Peptic ulcers, Mallory-Weiss tear, Boerhaave syndrome, gastric or esophageal erosions, vascular malformations, aortoduodenal fistula
X-Ray demonstrating Minnesota tube with tip overlying stomach. Endotracheal tube in place. Bibasilar opacities are present.