This group of international experts on gastrointestinal bleeding have written state-of-the art reviews on the overall approach to gastrointestinal bleeding. Endoscopists will find in this issue coverage of the endoscopic, surgical and pharmacologic therapies as well as competency and sedation issues. Other articles focus on the epidemiology, pathology, and the prevalence and incidence of H. Pylori in upper gastrointestinal bleeding.