Public comment period open for new ASGE Guideline

The Standards of Practice (SOP) Committee has developed a guideline entitled, “ASGE Guideline on the role of endoscopy in acute lower gastrointestinal tract bleeding.” The document is available now for review and comment through August 15, 2025.

Clinical practice guidelines contain recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options. The ASGE guideline on the role of endoscopy in acute lower GI bleeding addresses the use of colonoscopy versus computed tomography (CT) +/- angiography as the first modality, urgent vs non-urgent colonoscopy, prepped versus unprepped colonoscopy, endoscopic band ligation versus clipping for diverticular bleeding, and direct versus indirect clipping for diverticular bleeding.

All reviewers are required to complete a conflict-of-interest disclosure and acknowledge a non-disclosure agreement to view the guideline draft.

You may access the survey and documents at the link below:
Lower GI bleeding guideline documents & survey link:
https://www.surveymonkey.com/r/ASGElowerGI

We look forward to hearing from you.

Sincerely,
Nirav Thosani, MD, MHA
Chair, Standards of Practice Committee


About Gastrointestinal Endoscopy
Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with almost 17,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit Asge.org and ValueOfColonoscopy.org for more information and to find a qualified doctor in your area.

 

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