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GIEQs At GIEQs we believe in quality in endoscopy.

Pronounced 'geeks', GIEQs is dedicated to applying technical competence and published evidence to everything from a diagnostic gastroscopy to a circumferential ESD

Twenty votes at the close of GIEQs VII: which one article of the Value Manifesto will you implement on Monday?45% chose ...
13/10/2026

Twenty votes at the close of GIEQs VII: which one article of the Value Manifesto will you implement on Monday?

45% chose "a poor-quality procedure is the most expensive one". 30% chose "look once, properly, and document with photo or video before you biopsy or refer". Training as the cheapest investment in endoscopy came third.

Four articles got no votes at all: not scoping what a test can answer, histology plus the patient guiding the surgery decision, surveillance as a prescription rather than a reflex, and measuring comfort and time as outcomes. Those are the ones to argue about.

Two days in Ghent with GIEQs faculty, live cases and a room that voted.

Recordings of both days are now in the GIEQs VII rooms for everyone who registered: https://www.gieqs.com/vii

Day 2 — Advanced Resection and ERCP/EUS — and then that's a wrap on GIEQs VII.Thank you to our faculty, our delegates in...
09/10/2026

Day 2 — Advanced Resection and ERCP/EUS — and then that's a wrap on GIEQs VII.

Thank you to our faculty, our delegates in the room and online, and our partners and ESGE for making it possible. Every session asked the same question this year: are we getting value for everyone we serve? The conversations don't stop today.

Couldn't join live? The recordings are available for 3 months — and GIEQs PRO keeps the learning going all year.

Catch up → gieqs.com/vii 🔗

GIEQs — the international symposium for everyday endoscopy.

Who gains most from practising tip control?In the HAM-2 cohort, lower baseline accuracy and lower baseline speed each in...
09/10/2026

Who gains most from practising tip control?

In the HAM-2 cohort, lower baseline accuracy and lower baseline speed each independently predicted greater improvement in subjective tip control after self-practice (generalised linear mixed models).

The already-fast, already-accurate endoscopist gained least. That is the argument for putting the model in front of trainees early rather than reserving it for fellows.

Four 3D-printed shapes, one piece of cooked ham, an STSC setting and a video camera. The whole assessment runs unsupervised; scoring is done later, blinded.

Full method in Endosc Int Open: 10.1055/a-2953-6394

https://www.thieme-connect.com/products/ejournals/html/10.1055/a-2953-6394

Day 1 of GIEQs VII is live. Two studios, Upper and Lower GI, live cases and real-time decision-making — every topic thro...
08/10/2026

Day 1 of GIEQs VII is live. Two studios, Upper and Lower GI, live cases and real-time decision-making — every topic through the value lens.

We'll share take-homes from the floor through the day on GIEQs. Virtual delegates: you're seeing both streams in HD, with catch-up if you miss a session.

Virtual seats still open → gieqs.com/vii

Tomorrow afternoon, the GIEQs Studio turns into a skills lab: ex-vivo polypectomy, the Mikoto simulator, and the haemost...
06/10/2026

Tomorrow afternoon, the GIEQs Studio turns into a skills lab: ex-vivo polypectomy, the Mikoto simulator, and the haemostasis bench, before two days of live cases.

To everyone arriving in Ghent tonight — welcome. First session 07:45 Thursday. Follow for live moments from the floor all week.

Virtual seats still open → gieqs.com/vii

Three days. GIEQs VII opens with the hands-on pre-course on Wednesday and the main symposium Thursday–Friday.Travelling ...
05/10/2026

Three days. GIEQs VII opens with the hands-on pre-course on Wednesday and the main symposium Thursday–Friday.

Travelling to Ghent? Pack for the 07:45 start. Can't make it in person? Virtual seats are still open — both studios in HD, real-time Q&A, and 3-month catch-up if the live timing clashes with your list.

Virtual seats still open → gieqs.com/vii

One week out — here's the full GIEQs VII programme.Two days, two parallel studios, 29 sessions, every one through a valu...
01/10/2026

One week out — here's the full GIEQs VII programme.

Two days, two parallel studios, 29 sessions, every one through a value lens:

• Day 1 (8 Oct) — Upper GI ‖ Lower GI: Barrett's, GI bleeding, sedation economics, AI ‖ ADR & quality, FIT screening, polypectomy masterclass, IBD.

• Day 2 (9 Oct) — Advanced Resection ‖ ERCP/EUS: re**al polyps, optical diagnosis & R&D, EMR recurrence, training ‖ ERCP triage, biliary stones, EUS, drainage, cholangioscopy.
Plus the hands-on pre-course on 7 October. Live cases throughout.

Register → gieqs.com/vii

Tip control is assumed in advanced endoscopy and almost never measured.HAM-2, out now in Endoscopy International Open: a...
30/09/2026

Tip control is assumed in advanced endoscopy and almost never measured.

HAM-2, out now in Endoscopy International Open: a cooked-ham model with four standardised 3D-printed shapes, traced with snare tip soft coagulation, scored by blinded raters.

13 endoscopists, 104 STSC procedures at Ghent University Hospital.

At baseline the model separated experience levels — subjective tip control 95.3 (expert) vs 59.7 (fellows) vs 56.3 (trainees), p < 0.001; speed 40.6 vs 23.6 vs 19.7 mm/min.

After two unsupervised, structured self-practice sessions: tip control +12.3 points (95% CI 6.9-17.7), speed +5.5 mm/min, correct hit frequency +6.1 hits/min. Accuracy did not move (+1.3%, p = 0.085) — the ceiling was already above 90%.

The practical point: the endoscopists with the lowest baseline speed and accuracy improved the most. Deliberate self-practice, no supervisor, no simulator suite, one piece of ham.

Tornai T, Argenziano ME, Montori M, Poortmans PJ, Sorge A, Smeets S, Debels L, Desomer L, Tate DJ. Endosc Int Open 2026.

DOI: 10.1055/a-2953-6394

https://www.thieme-connect.com/products/ejournals/html/10.1055/a-2953-6394

Senior author: David Tate — https://www.linkedin.com/in/david-tate-41a9741a4

GIEQs — the international symposium for everyday endoscopy — the international symposium for everyday endoscopy.

The most expensive thing in endoscopy isn't the kit — it's the complication.A single perforation can cost €15,000–30,000...
29/09/2026

The most expensive thing in endoscopy isn't the kit — it's the complication.

A single perforation can cost €15,000–30,000 once you add the admission, the surgery, the extra bed-days, and the medicolegal tail. That's the real economics behind "do it well the first time": good technique, prophylactic measures where they're proven, and knowing your limits aren't soft skills — they're the cheapest insurance you have.

It's the thread running through every GIEQs VII session.

Register → gieqs.com/vii

Turning a surgical admission into a day-case endoscopy is value for money in one sentence.Dr Vikash Lala (South Africa; ...
28/09/2026

Turning a surgical admission into a day-case endoscopy is value for money in one sentence.

Dr Vikash Lala (South Africa; GIEQs Scientific Board; ESGE POEM curriculum co-author) is the one faculty member who performs the full range of third-space procedures — E-POEM, Z-POEM, G-POEM. At GIEQs VII he shows where POEM replaces surgery, what it takes to build the capability, and the training pathway to get there.

"True mastery of POEM is not just technical excellence — it demands understanding of anatomy and physiology, structured training in third-space endoscopy, careful patient selection, and a team managing the whole patient journey. That is what turns POEM admissions into day cases as the standard, not the exception."

Register → gieqs.com/vii

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