ESGE Academy Journal | Journal 04-2026 I Episode 2
Biopsy in Upper GI Endoscopy
COURSE
Series: ESGE Academy Journal
Season: Journal 04-2026
Episode 2 of 5: Biopsy in Upper GI Endoscopy
SPEAKERS
Dr. João Cunha Neves, Dr. Michele Montori, Dr. Ernesto Fasulo, Dr. Alžběta Hujova, Prof. Gianluca Esposito
DESCRIPTION
This video provides a structured practical guide to performing biopsies during upper GI endoscopy, focusing on correct anatomical orientation and standardised sampling protocols. It outlines the Seattle protocol for Barrett’s oesophagus surveillance and reviews MAPS III recommendations for gastric mapping, including the optimal number and location of biopsies in the antrum and corpus. The video also demonstrates biopsy techniques to maximise tissue capture, illustrates the use of acetic acid and advanced imaging for dysplasia detection, and highlights how to avoid common pitfalls such as sampling the prepyloric region.
LEARNING OBJECTIVES
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What to watch next...
ESGE Academy Journal | Journal 04-2026 | Episode 3
Quality in Colonoscopy (00:11:52)
Description
This presentation focuses on quality in colonoscopy with a specific emphasis on scope withdrawal. It reviews key performance indicators for high-quality lower gastrointestinal endoscopy and explains the rationale behind meticulous withdrawal technique. Practical strategies are discussed across three domains—equipment, endoscopic technique, and patient-related factors—to optimise mucosal visualisation and lesion detection. Case-based video examples and procedural tips are used to demonstrate evidence-based approaches such as thorough caecal inspection, fold examination, retroflexion, and position changes, with reference to current guidelines and supporting literature.
