In patients with HCC and asymptomatic but endoscopically visible varices, how long do you wait to start bevacizumab after banding?

That is an excellent question and one that does not have a clear answer to date. In these situations, timing of bevacizumab initiation depends on the patient's risk of bleeding and often is a discussion between oncology and a skilled endoscopist. We typically wait ~3-4 weeks after an intervention for low risk EVs.

My approach depends on the bleeding risks as determined by the endoscopist. For large EVs requiring extensive banding, oftentimes a repeat endoscopy in 1-2 weeks is helpful to ensure ...