ESGE Academy Journal | Journal 06-2026 I Episode 3
Materials & Equipment in Lower GI Endoscopy
COURSE
Series: ESGE Academy Journal
Season: Journal 06-2026
Episode 3 of 4: Materials & Equipment in Lower GI Endoscopy
SPEAKERS
Dr. Pieter Jan Poortmans, Dr. Andrea Sorge, Dr. Maria Eva Argenziano, Prof. David James Tate, Dr. Neasa McGettigan, Mr. Georgios Chlorakis, Dr. Tony He, Dr. Lynn Debels
DESCRIPTION
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.
LEARNING OBJECTIVES
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What to watch next...
ESGE Academy Journal | Journal 06-2026 | Episode 4
Characteristics of different endoscopic equipment in EUS (00:18:33)
Description
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
