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
GRADE Guidelines
Upper GI

The role of endoscopy in the bariatric surgery patient

Nov 14, 2016, 20:26 PM
This document is an update of the 2008 publication entitled “The Role of Endoscopy in the Bariatric Surgery Patient.” 2 The purpose of this document is to update endoscopists on the utility of endoscopy in the management of patients considering bariatric surgery and those who have undergone a bariatric procedure. A recent ASGE technology publication discussed current bariatric endoluminal techniques.3 Body mass index (BMI) is calculated as weight/height2 (kg/m2 ) and is commonly used to classify adults as overweight (BMI 25.0-29.9) and obese (BMI R30.0). In 2010, 68% of adults older than 20 years of in the United States were overweight or obese, 36% were frankly obese, and 6% had a BMI R40.4 By 2030, 40% of the United States population is expected to be obese.5 Obesity is associated with an increased risk of morbidity and mortality.6-11 In recognition of these risks and the evidence of risk reduction associated with weight loss,12-14 bariatric surgery is endorsed as an appropriate therapy in carefully selected individuals with severe obesity (BMI R40 or those with a BMI R30 and serious comorbid conditions) when dietary, behavioral, and pharmacotherapy interventions have failed.
Title : The role of endoscopy in the bariatric surgery patient
Doi org link : http://dx.doi.org/10.1016/j.gie.2014.09.044
Volume : Gastrointest Endosc 2015; Volume 81, Issue 5; P1063–1072
URL :
Select a choice : Keep
Content created : Mar 3, 2015, 10:06 AM
File size :
Number :
ExternalPK : 17956
Categories :
  • Bariatric Endoscopy
  • Bariatrics
  • Stomach
Tags :
Lower GI
Biliary and Pancreatic Endoscopy
Adverse Events
Privileging and Credentialing
GI Endoscopy Unit Operations
Screening and Surveillance in Premalignant Conditions
Procedural Management in Endoscopy
Miscellaneous
Guidelines in Spanish

In Progress Guidelines

ASGE Guideline on management of code status in the periendoscopic period

Estimated 2025

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

Public Comment

ASGE guidelines approaching publication are available on the website for 30 days for public comment. All reviewers are required to submit a conflict-of-interest disclosure and acknowledge a non-disclosure agreement for the guideline draft. All comments will be reviewed by the SOP Committee. Revisions to the draft are at the discretion of the lead authors and the SOP Committee.

ASGE Guideline on endoscopic management of benign and malignant colonic strictures

Comment

Endoscopic treatment for the management of complications post bariatric surgery: European Society of Gastrointestinal Endoscopy and American Society of Gastrointestinal Endoscopy position statement

Comment