In patients who meet Baveno VII NIT criteria for CSPH and are candidates for NSBB to prevent decompensation, when (if ever) do you still perform screening endoscopy before starting NSBB, and what specific findings would change your management?

I consider screening endoscopy along with NSBB in patients meeting criteria for CSPH who are also Childs B or C, based on favorable results from the CAVARLY TRIAL (Tevethia et al., PMID 39067870) that demonstrated reduced risk of bleeding in this patient subgroup with NSBB and band ligation of high-...