ESGE Academy Journal | Journal 02-2025 I Episode 3
Esophageal Variceal Bleeding
COURSE
Series: ESGE Academy Journal
Season: Journal 02-2025
Episode 3 of 5: Esophageal Variceal Bleeding
SPEAKERS
Dr. Roos Pouw, Dr. David Andreas Roser
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.
LEARNING OBJECTIVES
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What to watch next...
ESGE Academy Journal | Journal 02-2025 | Episode 4
Polypectomy bleeding: Theory and Therapy (00:13:00)
Description
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.
