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

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
GRADE Guidelines

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Upper GI

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Lower GI

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
URL :
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
  • Colonoscopy
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Biliary and Pancreatic Endoscopy

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
URL :
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
  • Colonoscopy
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Adverse Events

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
URL :
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
  • Colonoscopy
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Privileging and Credentialing

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
URL :
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
  • Colonoscopy
  • Procedure
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
GI Endoscopy Unit Operations

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
URL :
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
  • Colonoscopy
  • Procedure
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Screening and Surveillance in Premalignant Conditions

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
URL :
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Content created : Jan 9, 2020, 00:00 AM
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  • Anatomy
  • Colon
  • Colonoscopy
  • Procedure
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  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Procedural Management in Endoscopy

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
URL :
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Content created : Jan 9, 2020, 00:00 AM
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ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Miscellaneous

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
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Content created : Jan 9, 2020, 00:00 AM
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  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE
Guidelines in Spanish

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
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Categories :
  • Anatomy
  • Colon
  • Colonoscopy
  • Procedure
Tags :
  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE

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

ASGE review of adverse events in colonoscopy

Jan 9, 2020, 08:18 AM
Colonoscopy is the most commonly performed endoscopic procedure and overall is considered a low-risk procedure. However, adverse events (AEs) related to this routinely performed procedure for screening, diagnostic, or therapeutic purposes are an important clinical consideration. The purpose of this document from the American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee is to provide an update on estimates of AEs related to colonoscopy in an evidence-based fashion. A systematic review and meta-analysis of population-based studies was conducted for the 3 most common and important serious AEs (bleeding, perforation, and mortality). In addition, this document includes an updated systematic review and meta-analysis of serious AEs (bleeding and perforation) related to EMR and endoscopic submucosal dissection for large colon polyps. Finally, a narrative review of other colonoscopy-related serious AEs and those related to specific colonic interventions is included.
Shivangi T. Kothari, MD, FASGE1,∗, Robert J. Huang, MD2,∗, Aasma Shaukat, MD, MPH, FASGE3, Deepak Agrawal, MD, FASGE4, James L. Buxbaum, MD, FASGE5, Syed M. Abbas Fehmi, MD, MSc, FASGE6, Douglas S. Fishman, MD, FASGE7, Suryakanth R. Gurudu, MD, FASGE8, Mouen A. Khashab, MD9, Laith H. Jamil, MD, FASGE10, Terry L. Jue, MD, FASGE11, Joanna K. Law, MD, FASGE12, Jeffrey K. Lee, MD, MAS13, Mariam Naveed, MD14, Bashar J. Qumseya, MD, FASGE15, Mandeep S. Sawhney, MD, FASGE16, Nirav Thosani, MD17, Julie Yang, MD, FASGE18, John M. DeWitt, MD, FASGE19, Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE review of adverse events in colonoscopy
Doi org link : https://doi.org/10.1016/j.gie.2019.07.033
Volume : Gastrointest Endosc December 2019, Volume 90, Issue 6, Pages 863-876.e33
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Content created : Jan 9, 2020, 00:00 AM
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Categories :
  • Anatomy
  • Colon
  • Colonoscopy
  • Procedure
Tags :
  • Colonoscope
  • colonoscopy
ASGE Review of Adverse Events in Colonoscopy 2019 December GIE

Technology Assessments

Technology evaluations provide a review of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evaluations are based on a literature review and a search of the MAUDE (U.S. Food and Drug Administration Center for Devices and Radiological Health) database to identify the reported adverse events of a given technology. When financial guidance is indicated, the most recent coding data and list prices at the time of publication are provided.

Technology Assessments
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