The Forrest Classification is now used as a tool to identify patients who are at an increased risk for bleeding, rebleeding and mortality

Candidiasis is the most frequent form of infectious esophagitis. The characteristic white plaques, which are difficult to rinse off, are found in approximately 4% of

To allow more precise assessment of the competence of the esophagogastric sphincter mechanism, Hill et al. presented a practical classification in 1996.

The Surgical Working Group on Endoscopy and Ultrasound (Chirurgische Arbeitsgemeinschaft für Endoskopie und Sonographie, CAES) has developed and validated a classification of anastomotic insufficiency in

A patient with an ingrown internal PEG retaining plate (buried bumper syndrome) on the anterior wall of the gastric body. Endoscopic removal of the device

Gastric Intestinal Metaplasia is a risk factor of intestinal-type gastric cancer, but WLI was not adequate to detect IM of stomach. NBI system with and

Multimodal therapy for early Barrett’s neoplasias, has become established as the standard therapy and is set out in national and international guidelines. These dysplastic lesions

Achalasia is one of the differential diagnoses in patients with symptoms of dysphagia. High-resolution (HR) manometry is now regarded as the diagnostic gold standard for

Die Anzahl an durchgeführten Adipositas-OPs steigt weltweit. Für jeden Endoskopiker ist es wichtig die Anatomie nach einer Magen-Bypass-OP zu kennen um evtl. Komplikationen nach diesen

In the classic method, a stricture in the esophagus is dilated using a Savary bougie after advancement of a guide wire. The difficulty with this

Tumors of the esophagogastric junction should be classified not only according to the TNM system with regards to tumor penetration (T stage), presence of lymph

In the following, examples for superficial/early Barrett lesions of the esophagus are shown. Here, flat and sessilelesions are predominant, pedunculated tumors are rare. Sessile tumor

This video illustrates the altered anatomy resulting after the type of gastric resection that is carried out for gastric carcinoma, for example. Bowel continuity is

A subepithelial tumor has been identified in the fundus. EUS shows that it is 2.5 × 3 cm in size, probably arising from the muscularis propria. No pathological

This video explains the altered anatomy that is encountered after a Billroth II operation. In a Billroth II resection, the lower part of the stomach

Endoscopic treatment for early carcinoma in the gastrointestinal tract has in the meantime become evidence-based and has been incorporated into national and international guidelines

Examples of superficial/early squamous cell lesions in the esophagus are presented below. In the esophagus, flat lesions are predominant in the early tumors, and polypoid

Examples of superficial/early gastric tumors are shown below. In the stomach, flat lesions are predominant, often as combined lesions with a central depression (IIa+c). Sessile

Hendrik Manner from Wiesbaden reports on a patient with a gastric emptying disorder who was treated with what is known as gastric peroral endoscopic myotomy

Submucosal lesions identified in the esophagus usually undergo further clarification using endoscopic ultrasonography (EUS). In this video, Thomas Rösch from Hamburg demonstrates the examination sequence

Stephan Hollerbach and his team demonstrate an en-bloc resection in a swine model using the new mechanical EndoRotor® resection system.

The latest developments in the field of gastroenterology and endoscopy are presented every year at Digestive Diseases Week (DDW) in Chicago — although in recent

During hemostasis in patients with nonvariceal upper gastrointestinal hemorrhage, the Forrest classification is recommended for risk stratification, as it correlates best with the risk of

Celiac disease is a chronic inflammation trigged by the ingestion of gluten and resulting in a dense infiltration of lymphocytes in the proximal small intestine.

Dr. Werner and Prof. Rösch from Hamburg present the case of a young patient with an incidental finding of esophageal GIST. In this patient, it

Among the gastric submucosal tumors, neuroendocrine tumors are a special entity, which also require examination of independent gastric mucosal biopsies for classification.

Heterotope Magenschleimhaut des Ösophagus (heterotopic gastric mucosa, gastric inlet patch) entspricht funktionellem Magengewebe, das sich nicht an der anatomisch üblichen Lokalisation befindet. Sie ist in

Depending on the patient’s degree of sedation and the examiner’s level of experience, carrying out a precise examination of the Z-line may not be very

The Prague classification was presented by an international research group in 2006 (1) and has since been regarded as the standard for measuring the length

Gastroesophageal reflux disease with endoscopically identifiable lesions (erosions, stricture, Barrett’s esophagus) is defined as erosive gastroesophageal reflux disease (GERD). Fewer than 50% of patients with

Various systems are available for classifying esophageal varices. Unfortunately, they only overlap or coincide partly. The official terminology used by the German Society for Digestive

A classification for eosinophilic esophagitis has not yet been included in the usual terminologies in the German-speaking countries. In the official terminology of the German

Pancreatitis can cause various severe complications such as acute fluid collections with superinfected necrotic content requiring drainage and removal of necrotic debris. Here we demonstrate

Considerable debate is currently taking place among therapeutic endoscopists regarding the best method of resecting early carcinomas, particularly in the upper gastrointestinal tract — whereas

Arterial bleeding from the area of the endoscopic mucosal resection, 2 days after the intervention. Successful hemostasis is achieved using bipolar coagulation forceps in “Soft

The gastropexy device consists of two hollow needles that are attached to each other. A suture thread is inserted through one hollow needle, and a

Endoscopic division of a Zenker diverticulum using the Clutch Cutter and management of a perforation. Coagulation of the diverticular septum using the Clutch Cutter. Settings:

A 46-year-old patient with short-segment Barrett’s esophagus that had been receiving monitoring since 2009, now presenting with a mucosal adenocarcinoma.

Visualization of the Z-line without enhancement and with iScan, obstructed by esophageal motility.

A 31-year-old female patient who has had reflux symptoms for 15 years and has responded well to PPI therapy. The patient wants to stop taking

In contrast to esophageal varices, there is only one classification system for fundic varices, developed by Sarin et al.

The efficacy of surveillance for Barrett’s patients is a matter of controversy, and it is probably due to the low long-term risk of carcinoma developing

Low-grade dysplasia (low-grade intraepithelial neoplasia, LGIN) is difficult to distinguish from inflammation histopathologically. The interobserver variance rates usually show kappa values below 0.4, representing a

The risk of progression of nonneoplastic Barrett’s esophagus to high-grade intraepithelial neoplasia or adenocarcinoma is extremely low and has been reported in recent studies to

Achalasia is a rare neuromuscular disease of unclear etiology that probably has a genetic background. The precise etiopathogenesis of achalasia is still unclear. Above all,