Video Journal of the ESGE Academy
Issue 06 - Characteristics of Different Endoscopic Equipment
Joint issue with the EYE Committee
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 sixth 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
Sixth Edition: Materials and equipment
This issue is about the things we pick up — not the technique, the tools. Snares, needles, wires, stents, and the current that runs through some of them. Three groups, describing three very different aspects of endoscopy, arrive at the same conclusion: devices are not interchangeable, and the properties of the device in your hand (or down your endoscope) may decide the outcome as much as the technique you apply.The lower GI group takes us through the polypectomy kit, where the wire decides the plane and a clip too narrow for the defect is no clip at all. The electrosurgery segment explains how cutting and coagulation are the same current, delivered differently, and how this has a significant impact on the tissue effect. Therapeutic EUS shows device selection at its most unforgiving, where the working channel sets everything downstream and every device chooses the next one.Three videos, one rule. The device you are using can dramatically determine the effect of your therapeutic endoscopy manouevre. Know the material in your hand to maximise your therapeutic outcomes.
Section Introduction
Editor's Introduction — Materials and equipment
Know what is in your hand
The Editor-in-Chief introduces Issue 6. Materials and equipment, read across polypectomy, electrosurgery and therapeutic EUS. Three groups, working in three very different rooms, arrive at one rule: devices are not interchangeable, and the device in your hand may decide the outcome before you touch the tissue. Know the properties of the device in your hand.
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
Electrosurgery in the Endoscopy Unit
Principles, devices and settings
This video shows how radiofrequency current can be used for cutting or coagulation and explains how to select the appropriate settings for each device. The lecture covers monopolar and bipolar circuits, current density and tissue temperature thresholds, spark formation and impedance, waveform and impedance-guided outputs. It then goes through EMR, ESD, saline immersion, haemostatic forceps, argon plasma coagulation and biliary sphincterotomy.
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.
Dimitrije Damjanov
University Clinical Center of Vojvodina, Novi Sad, Serbia.
Gianluca Esposito
Department of Medical-Surgical Sciences and Translational Medicine University Sapienza of Rome, Digestive Endoscopy Unit - Sant'Andrea Hospital, Rome, Italy.
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.
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.
Zuzana Vackova
Military University Hospital, Prague, Czech Republic.
Section Lower GI
Materials & Equipment in Lower GI Endoscopy
What to select, and how to use it: the polypectomy toolkit
Special Edition: This 6th edition of the ESGE Academy Video Journal is produced in collaboration with the ESGE Young Endoscopists (EYE) committee.
This presentation focuses on the materials and equipment used for polypectomy and endoscopic mucosal resection (EMR) in the lower gastrointestinal tract. It reviews the properties of key devices — cold snares, injection needles and submucosal fluids, types of snares for hot snare polypectomy and EMR, electrosurgical units and different settings, and haemostatic devices — and explains how these properties determine the resection plane, completeness of excision, and safety. Practical guidance is given on matching device selection to lesion type and size, with reference to the ESGE curriculum for training in EMR in the colon and the 2024 ESGE colorectal polypectomy and EMR guideline. Case-based video examples are used to demonstrate the correct use of key materials, including cold snare capture, dynamic submucosal injection, hot snare transection, and snare-tip soft coagulation.
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
George Chlorakis
Department of Gastroenterology, University Hospital of Heraklion, Greece.
Lynn Debels
University Hospital Brussels (UZ Brussels), Brussels, Belgium, Department of Gastroenterology & Hepatology.
University Hospital Ghent (UZ Ghent), Ghent, Belgium, Department of Internal Medicine & Pediatrics.
Tony He
Department of Gastroenterology, St. Vincent's Hospital, Melbourne, Australia.
Neasa Mc Gettigan
Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland.
Andrea Sorge
Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Gastroenterology Unit, University Hospital of Padua, Padua, 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 EUS
Characteristics of different endoscopic equipment in EUS
The therapeutic EUS toolbox
Therapeutic EUS depends on understanding what each device is made of and why that construction fits a given task. This session walks through the toolbox in the order of the procedure itself: the echoendoscope and the working channel, access needles and the guidewires, devices for creating the transmural tract, and the full range of drainage stents — double-pigtail plastic stents, lumen-apposing metal stents and dedicated partially covered SEMS for hepaticogastrostomy — before closing with the material used for vascular embolisation. For each family, the focus is on the three variables that actually change behaviour at the table: calibre, stiffness and delivery system. The aim is a practical framework for choosing equipment, so that the reasoning survives the next change in the catalogue.
Apostolis Papaefthymiou
Department of Gastroenterology, General University Hospital of Larissa, Thessaly.
Katarzyna Pawlak
Department of General, Gastroenterological, and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Toruń, Poland.
Elena Tenorio González
Endoscopy Unit, Henri Mondor Hospital, Paris, France.
Upcoming editions of the Video Journal of the ESGE Academy:
Issue 7: Maximising the Quality of Therapeutic Endoscopy - January 15, 2027
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