Video Journal of the ESGE Academy
Now available:
Issue 03 - Lesion Assessment (Overt & Covert cancer)
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 third 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
Third Edition: Lesion Assessment (Overt & Covert cancer)
Lesion assessment throughout the gastrointestinal tract is a discipline built on precision, pattern recognition, and the best use of modern imaging. For luminal mucosal lesions high-definition optics, coupled with meticulous mucosal cleaning and the use of distal attachments, provide the foundation for reliable visualization. At the heart of this practice lies the demarcated area, the border that distinguishes normal from abnormal tissue, within which careful inspection of vascular and pit patterns—regular versus irregular—guides diagnostic accuracy.
Beyond the lumen, echo-endoscopic lesion assessment adds a vital layer, allowing us to characterize subepithelial lesions, define local invasion, and stratify therapeutic options. Similarly, the major papilla and ampullary region present unique interpretative challenges, where mucosal folds and variable morphology demand both experience and structured frameworks for evaluation.
This issue of the Video Journal of the ESGE Academy brings these threads together, reinforcing the importance of optical and echo-endoscopic principles across the spectrum of GI lesion assessment. By standardizing a deconstructed approach while acknowledging site-specific subtleties, we aim to strengthen diagnostic confidence for all endoscopists and ultimately improve patient care.
Section Upper GI
Additional material
Assessment of Barrett's oesophagus-related lesions
Identify, characterise, treat!
This video provides a practical guide on how to assess Barrett’s esophagus–related lesions, presenting key tips and tools for detection and characterization. It includes examples with high-definition endoscopy and advanced imaging to illustrate how to describe lesion morphology and risk features. Finally, it emphasizes the importance of structured training to ensure accurate assessment and improved clinical outcomes.
Francesco Vito Mandarino
Department of Gastroenterology and Gastrointestinal Endoscopy Division, IRCCS San Raffaele, Hospital Milan, Italy.
Roos E. Pouw
Gastroenterologist at the Department of Gastroenterology & Hepatology, University Medical Center Utrecht, Utrecht, the Netherlands.
David Andreas Roser
Fellow at the Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany.
Clinician Scientist at Augsburg University, Augsburg, Germany.
Additional material
Gastric lesion assessment
Demarcation line and VS classification system
This video presents a step‑by‑step method for assessing gastric lesions. The aim is to translate current evidence into practical guidance for routine practice. The approach focuses on core concepts to support precise identification, characterization, and risk stratification. Case examples demonstrate proper application of the method and highlight common pitfalls.
Ernesto Fasulo
Department of Gastroenterology and Endoscopy, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Alzbeta Hujova
Institute of Clinical and Experimental Medicine, Prague, Czech Republic.
Michele Montori
Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy.
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.
Section Lower GI
Endoscopic lesion assessment in the lower gastrointestinal tract
How to identify cancer and guide management
This video explains how to perform a high-quality, systematic lesion assessment in the lower gastrointestinal tract. It focuses on identifying the endoscopic features of overt cancer as well as the risk factors for covert cancer within colorectal lesions. Four case examples are presented to demonstrate the correct application of the lesion assessment strategy, with endoscopy–histology correlation.
With a series of videos, we explain the differences between covert and overt cancer of the ampulla, and the decision making process in choosing right modality of treatment for these lesions.
Andrea Sorge
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Neasa Mc Gettigan
Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland.
George Chlorakis
Department of Gastroenterology, University Hospital of Heraklion, Greece.
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.
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.
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
Ampullary lesion assessment during ERCP
(Overt & Covert cancer)
This video series demonstrates key techniques for assessing ampullary lesions during ERCP, with a focus on distinguishing overt cancers from covert cancers. Through real case examples and endoscopic footage, the series highlights visual cues, biopsy strategies, and decision-making to improve diagnostic accuracy and guide appropriate management.
Srisha Hebbar
Department of Gastroenterology, University Hospital of North Midlands, Stoke-on-Trent, United Kingdom.
Section EUS
Biliary strictures diagnostic work-up
Role of EUS
This video provides key principles on the diagnostic management of biliary strictures by endoscopic ultrasound, including didactic video material demonstrating the different features observed according to the location and underlying cause of the stricture.
Emphasis will be placed on the technical and clinical aspects of this approach, while also highlighting the essential role of a multidisciplinary strategy in achieving accurate diagnosis and optimal patient care.
Elena Tenorio González
Endoscopy Unit, Henri Mondor Hospital, Paris, France.
Apostolis Papaefthymiou
Department of Gastroenterology, General University Hospital of Larissa, Thessaly.
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.
