ESGE Academy Journal | Journal 02-2025 I Episode 2
Nonvariceal Upper Gastrointestinal Bleeding - How to deal with it
COURSE
Series: ESGE Academy Journal
Season: Journal 02-2025
Episode 2 of 5: Nonvariceal Upper Gastrointestinal Bleeding - How to deal with it
SPEAKERS
Dr. João Cunha Neves, Prof. Gianluca Esposito
DESCRIPTION
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.
LEARNING OBJECTIVES
-
What to watch next...
ESGE Academy Journal | Journal 02-2025 | Episode 3
Esophageal Variceal Bleeding (00:11:44)
Description
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.
