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

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

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

25/09/2026

The cheapest way to train a whole endoscopy unit is to send it together.

GIEQs VII group rates: 10% off for 5+, 25% for 10+, 50% for 20+. Send the consultants, the trainees, and the nursing team, watch the same live cases, and have a shared reference point for your next audit meeting. Virtual group bookings work the same way — the whole department, one stream, 3-month catch-up.

Register → gieqs.com/vii

24/09/2026

The most valuable ERCP is the one with a clear indication.

GIEQs VII's ERCP/EUS stream — led by Prof. Pieter Hindryckx (UZ Gent) — runs the everyday pancreatobiliary questions through a value lens: indication audit and triage, cannulation success, where EUS actually adds value, and EUS-guided drainage as first-line for malignant gastric outlet obstruction. Belgian pancreatobiliary endoscopy, taught where it's practised.

"[quote — pending]"

Register → gieqs.com/vii

23/09/2026

A large colorectal lesion is found during an everyday colonoscopy. Do you biopsy it before referral?

In 605 EMR procedures, referral forceps biopsy did not improve diagnostic accuracy or clinical outcomes. Expert optical assessment agreed better with final histology, and prior biopsy could reduce the accuracy of the later optical assessment.

The transferable rule is simple: inspect carefully, classify, photograph and refer intact. Biopsy when suspected deep invasion genuinely changes the pathway, not simply because the lesion is unfamiliar.

GIEQs VII will test this decision on live lesions, with the audience committing before the expert assessment.

https://www.gieqs.com/vii

22/09/2026

Hands-On Pre-Course, the emergencies bench: bleeding control and over-the-scope clips — through to perforation closure.

This is the skill you need most when you have least time to think. On a dedicated bleeding model you can drill haemostasis, clip application and OTSC placement calmly and repeatably — which is where confidence actually comes from.

Wednesday 7 October, Ghent. Groups of three, faculty supervision, 30 places, separate registration.

Register → gieqs.com/vii

GIEQs — the international symposium for everyday endoscopy.

21/09/2026

When does an endoscopic resection genuinely replace surgery — and what does that save?

Prof. Arnaud Lemmers (Erasme, Brussels), ESGE ESD guideline author and former BSGIE president, brings the cost comparison to GIEQs VII: bed-days, theatre time, and re-intervention for endoscopic vs surgical resection of large/complex lesions, plus deep-margin optical diagnosis — knowing when the endoscopic option is the right one, not just the possible one.

Belgian advanced endoscopy on the international stage.

"Endoscopic resection reduces hospital stay, morbidity and total cost compared with surgery, at comparable oncological efficacy. The everyday challenge isn’t performing the resection — it’s assessing deep submucosal invasion correctly beforehand, so the endoscopic option is chosen because it’s right, not just because it’s possible."

Register → gieqs.com/vii

18/09/2026

An inadequate bowel prep isn't a minor annoyance — it's a repeat colonoscopy, and each one costs €300+ in list time, consumables, and a second prep, before you count the missed lesions in between.

Split-dose regimens, clear instructions, rescue protocols, and pre-procedure nurse-led calls are cheap. The repeat scope is not. GIEQs VII's bowel-prep session treats prep quality as the value lever it actually is.

Register → gieqs.com/vii

17/09/2026

The travel maths for GIEQs VII, since people ask:

✈ Fly into Brussels Airport (BRU) → 🚆 ~1 hr direct train to Ghent → 🚶 short walk to the studio and to hotels. No connections, no two-hour transfer. Most international faculty and delegates arrive the evening before, have dinner in the old town, and are in their seat for the 07:45 start.

Easy to reach is part of value too — less travel cost, less time off the list.

Register → gieqs.com/vii

16/09/2026

After complete EMR with margin thermal ablation, what does a clear first surveillance examination buy you?

In a multicentre cohort, recurrence at first surveillance was 3.4%. Among lesions with a clear first scar, recurrence at the second examination was 0.2%, compared with 3.5% in historical controls without margin ablation.

The teaching point is larger than recurrence prevention. A well-performed index EMR may also release future surveillance capacity.

At GIEQs VII we will demonstrate the margin technique, then ask the harder service question: when can the next examination safely move to three to five years?

https://www.gieqs.com/vii

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Ghent

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https://www.gieqs.com/

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