Key Resources


ASGE Guidelines

ASGE evidence-based guidelines provide clinicians with recommendations for the evaluation, diagnosis, and management of patients undergoing endoscopic procedures of the digestive tract. Guidelines are not a substitute for physicians’ opinion on individual patients. Final decision on an intervention should always be based on local expertise and patient preferences.

All recommendations follow a rigorous process based on a systematic review of medical literature as outlined by the National Academy of Medicine (formerly Institute of Medicine) standards for guideline development.

Whenever possible, guidelines are based on the GRADE (Grading of Recommendation Assessment, Development and Evaluation) methodology.

Panels consist of content experts, stakeholders from other specialties, patient representatives, and members of the ASGE Standards of Practice (SOP) Committee.

Each recommendation is based on consideration of the best medical literature, the balance between risks and benefits, cost-effectiveness, patients’ values, and equity.

Panel members provide ongoing conflict of interest (COI) disclosures, including intellectual conflicts of interest, throughout the development and publication of all guidelines in accordance with the ASGE Policy for Managing Declared Conflicts of Interests.

ASGE strives to provide clinically relevant and practical recommendations, which can help standardize patient care and improve outcomes.

If you have any questions or suggestions, please contact Customer Support at Info@asge.org.

The following information is intended only to provide general information and not as a definitive basis for diagnosis or treatment in any particular case. It is very important that you consult your doctor about your specific condition.

Newly Published

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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GRADE Guidelines

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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Upper GI

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
Lower GI

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
Biliary and Pancreatic Endoscopy

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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Adverse Events

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
Privileging and Credentialing

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
GI Endoscopy Unit Operations

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
Screening and Surveillance in Premalignant Conditions

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
Procedural Management in Endoscopy

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
Miscellaneous

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE
Guidelines in Spanish

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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In Progress Guidelines

ASGE Guideline on the Role of Endoscopy in the Management of Malignant Hilar Obstruction

Early 2021

ASGE Guideline on the Management of Cholangitis

Early 2021

ASGE guideline on screening for pancreatic cancer in individuals with genetic susceptibility

Estimated 2021

ASGE Guideline on the Role of Endoscopic Submucosal Dissection in the Management of Esophageal and Gastric Mucosal Neoplasia

Estimated 2021

Quality in Endoscopy

Quality documents define the indicators of high-quality endoscopy and how to measure it. ASGE quality indicators are based on a rigorous review process which results in valid metrics for evaluating GI endoscopic procedures. 

Quality in Endoscopy

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus

Mar 3, 2020, 11:04 AM
Colonic volvulus and acute colonic pseudo-obstruction (ACPO)are 2 causes of benign large-bowel obstruction.Colonic volvulus occurs most commonly in the sigmoid colon as a result of bowel twisting along its mesenteric axis. In contrast, the exact pathophysiology of ACPO is poorly understood, with the prevailing hypothesis being altered regulation of colonic function by the autonomic nervous system resulting in colonic distention in the absence of mechanical blockage. Prompt diagnosis and intervention leads to improved outcomes for both diagnoses. Endoscopy may play a role in the evaluation and management of both entities. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on the evaluation and endoscopic management of sigmoid volvulus and ACPO. (Gastrointest Endosc 2020;91:228-35.)
Mariam Naveed, MD,1,* Laith H. Jamil, MD, FASGE,2,* Larissa L. Fujii-Lau, MD,3 Mohammad Al-Haddad, MD,4 James L. Buxbaum, MD, FASGE,5 Douglas S. Fishman, MD, FASGE,6 Terry L. Jue, MD, FASGE,7 Joanna K. Law, MD,8 Jeffrey K. Lee, MD,9 Bashar J. Qumseya, MD, MPH,10 Mandeep S. Sawhney, MD, FASGE,11 Nirav Thosani, MD,12 Andrew C. Storm, MD,13 Audrey H. Calderwood, MD, FASGE,14 Mouen A. Khashab, MD,15 Sachin B. Wani, MD, FASGE,16 ASGE Standards of Practice Committee Chair
Title : American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus
Doi org link : https://doi.org/10.1016/j.gie.2019.09.007
Volume : Gastrointest Endosc February 2020, Volume 91, Issue 2, Pages 228-235
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American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus 2020 February GIE

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