ESGE Academy Journal | Journal 05-2026 I Episode 4
Adverse events in lower GI endoscopy: How to manage perforations in lower GI
COURSE
Series: ESGE Academy Journal
Season: Journal 05-2026
Episode 4 of 5: Adverse events in lower GI endoscopy: How to manage perforations in lower GI
SPEAKERS
Dr. Maria Eva Argenziano, Dr. Pieter Jan Poortmans, Prof. David James Tate, Dr. Neasa McGettigan, Mr. Georgios Chlorakis, Dr. Andrea Sorge
DESCRIPTION
This video explains how to recognise and manage perforations in the lower gastrointestinal tract. It reviews the main risk factors for perforation and the use of the Sydney classification to identify and describe these events. Several intraprocedural perforations are shown, with examples of their endoscopic management. The video also discusses the choice of closure technique, with practical tips on how to achieve effective endoscopic closure. Finally, the management of capnoperitoneum is demonstrated, including how to recognise it during the procedure and how to treat it safely.
LEARNING OBJECTIVES
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What to watch next...
ESGE Academy Journal | Journal 05-2026 | Episode 5
ERCP Perforation - Prevention and Management: A practical guide to prevention, recognition, and management (00:10:54)
Description
Perforation in ERCP is rare, but its consequences demand preparation. This video equips endoscopists with the technical knowledge to prevent it, the clinical acumen to recognise it, and the systematic approach to manage it. Illustrated with real clinical cases, it brings the learning to life. Because in endoscopy, safety begins before the scope is inserted.
