Video Journal of the ESGE Academy
Now available:

Issue 02 - Gastrointestinal Bleeding
Welcome to the Video Journal of the ESGE Academy
An Innovative Platform for Endoscopic Education
Dear ESGE Member,
It is with great enthusiasm that we welcome you to the second edition of the Video Journal of the ESGE Academy.
This initiative was created with a clear and ambitious purpose: to serve as a comprehensive and enduring collection of high-quality video content dedicated to all aspects of endoscopic practice. Whether you are learning a technique for the first time or seeking to refine an established method, this journal offers clear, structured, and accessible educational resources to support your growth as an endoscopist.
Unlike much of the video material shared on social media—where we often see only the most advanced techniques performed by highly experienced practitioners or novel devices used in complex, edge-case scenarios—the Video Journal of the ESGE Academy offers something different. We focus on what lies beneath the surface of the iceberg: the essential techniques, fundamental procedures, and core knowledge that form the foundation of high-quality endoscopy. These are the building blocks that every practitioner, regardless of their experience level, must master.
Any endoscopic procedure can be featured here. Whether it is a groundbreaking innovation or a time-tested method dating back to the earliest days of endoscopy, we welcome it—provided it is presented with the clarity and structure that enable any viewer, regardless of prior exposure, to understand and apply it in their own practice. Each contribution should break the technique down into its constituent steps, illustrate the critical elements, and communicate the key concepts in a way that is practical, accessible, and immediately useful.
The Video Journal of the ESGE Academy will be published quarterly, with themes and topics announced three months in advance. If you are passionate about education and have a technique or concept to share, we warmly encourage you to submit your video for review. Submissions that meet our editorial standards and are selected for publication will be proudly showcased here on our platform.
We hope you find inspiration, knowledge, and value within these pages—and we look forward to building this educational journey together.
Welcome to the Video Journal of the ESGE Academy. Let’s advance endoscopy, one video at a time.
David Tate
Editor-in-chief
Second Edition: Gastrointestinal Bleeding
This edition strips the endoscopic management of Gastrointestinal Bleeding back to its fundamentals, breaking down essential procedures and techniques into clear, manageable steps.
GI bleeding is something that always raises the pulse of endoscopists and often dominates the discussion in training courses. Even the simplest techniques can present real challenges; here, we dissect them, illustrate them, and give you the tools to master them—no matter where you are on your learning journey.
Section Introduction
Introduction
Concepts in Bleeding Control throughout the GI Tract
This introductory video explores the principles of hemostasis in the gastrointestinal tract, focusing on algorithms, visualization, and the selection of thermal versus mechanical therapies. Assessing active bleeding and identifying blood vessels are identified as essential steps. The comparison of monopolar and bipolar devices, along with the significance of tissue compliance is claimed to play a vital role in treatment success. Case examples demonstrate effective bleeding management techniques and summarize the necessary instruments for upper GI bleeding management.

David Tate
University Hospital Ghent (UZ Gent), Gent, Belgium, Department of Gastroenterology & Hepatology.
Faculty of Medicine and Health Sciences, University of Gent, Gent, Belgium.
Section Upper GI
Additional material
Nonvariceal Upper Gastrointestinal Bleeding - How to deal with it
From Risk Stratification to Intervention: Optimizing Peptic Ulcer Bleeding Management
This educational video offers a clear, systematic approach to managing nonvariceal upper GI bleeding, particularly in peptic ulcer disease. Tailored for practicing endoscopists, it delivers a definitive clinical framework for acute bleeding scenarios. Central to this approach is the Forrest classification, which serves not merely as a risk stratification tool but as a strategic guide for therapeutic decision-making. Through methodical analysis of each bleeding stigmata, this video provides clinicians with precise, actionable recommendations on intervention timing and technique selection.

Joao A. Cunha Neves
Gastroenterology Department, Unidade Local de Saúde do Algarve, Portimão, Portugal.

Gianluca Esposito
Department of Medical-Surgical Sciences and Translational Medicine University Sapienza of Rome, Digestive Endoscopy Unit - Sant'Andrea Hospital, Rome, Italy.
Esophageal Variceal Bleeding
Step-by-Step Endoscopic Approach & Decision-Making
This educational video delivers a structured and practical overview of the classification and endoscopic management of esophageal variceal bleeding. Beginning with a detailed explanation of variceal types and high-risk stigmata, it moves through first-line therapeutic approaches with an emphasis on variceal ligation, and concludes with advanced rescue strategies such as esophageal stenting and TIPS.
Through didactic segments and real case-based video examples, viewers gain insight into ligation techniques, device handling, and limitations of endoscopic therapy. Core principles—such as remaining composed in acute situations, recognizing extension into the stomach, and implementing a spiral ligation strategy—are reinforced throughout.
Tailored for early-career and experienced endoscopists alike, this video emphasizes practical know-how, team preparedness, and evidence-based action, reminding us that effective control of variceal bleeding hinges on vigilance, confidence, and readiness.

David Andreas Roser
Fellow at the Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany.
Clinician Scientist at Augsburg University, Augsburg, Germany.

Roos E. Pouw
Gastroenterologist at the Department of Gastroenterology & Hepatology, University Medical Center Utrecht, Utrecht, the Netherlands.
Section Lower GI
Additional material
Polypectomy bleeding: Theory and Therapy
A Practical Endoscopic Guide to Eisk Assessment and Treatment Strategies
This educational video offers a practical, step-by-step guide to the assessment and endoscopic management of postpolypectomy bleeding. From evaluating clinical risk to selecting the appropriate therapeutic tools, it emphasizes a structured approach grounded in preparation, precision, and calm decision-making. Aimed at endoscopists of all levels, the video highlights key strategies to manage bleeding effectively and safely, reinforcing that with the right knowledge and equipment, most cases can be resolved without escalation to surgery or interventional radiology.

Pieter Jan Poortmans
University Hospital Ghent (UZ Gent), Gent, Belgium, Department of Gastroenterology & Hepatology.
Faculty of Medicine and Health Sciences, University of Gent, Gent, Belgium.
University Hospital Brussels (UZ Brussels), Brussels, Belgium, Department of Gastroenterology & Hepatology.

Maria-Eva Argenziano
University Hospital Ghent (UZ Gent), Gent, Belgium, Department of Gastroenterology & Hepatology.
Faculty of Medicine and Health Sciences, University of Gent, Gent, Belgium.
Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy

Andrea Sorge
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

David Tate
University Hospital Ghent (UZ Gent), Gent, Belgium, Department of Gastroenterology & Hepatology.
Faculty of Medicine and Health Sciences, University of Gent, Gent, Belgium.
Section ERCP
Post Sphincterectomy Bleeding
Endoscopic haemostatic techniques and the treatment strategies
This video demonstrates the endoscopic management of post-sphincterotomy bleeding, a recognized complication following biliary sphincterotomy during ERCP. The clip showcases various endoscopic haemostatic techniques, case based discussions and the decision-making process in the choice of the chosen haemostatic techniques.

Srisha Hebbar
Department of Gastroenterology, University Hospital of North Midlands, Stoke-on-Trent, United Kingdom.

Marcus Hollenbach
Division of Gastroenterology, University of Leipzig Medical Center, Leipzig, Germany.
Upcoming editions of the Video Journal of the ESGE Academy:
Issue 6: Characteristics of Different Endoscopic Equipment - September 17, 2026
Issue 7: Maximising the Quality of Therapeutic Endoscopy - January 15, 2027
Contributions to ESGE Academy Video Journal
Do you want to participate in the ESGE Academy Video Journal or content you want to publish with us? Please reach out and let's start a discussion.
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Discover the ESGE Academy App – Elevate Your Expertise
Welcome to the ESGE Academy app, your gateway to world-class education in gastrointestinal endoscopy. Designed exclusively for active ESGE members, this app provides free access to a vast library of educational resources curated by the European Society of Gastrointestinal Endoscopy.
The ESGE Academy app is available for iPhone and iPad using iOS/iPadOS 16 or newer.












