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
Lower GI

ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy

Jan 3, 2020, 07:39 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 populationbased 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. (Gastrointest Endosc 2019;90:863-76.)
Shivangi T. Kothari, MD, FASGE,1, * Robert J. Huang, MD,2, * Aasma Shaukat, MD, MPH, FASGE,3 Deepak Agrawal, MD, FASGE,4 James L. Buxbaum, MD, FASGE,5 Syed M. Abbas Fehmi, MD, MSc, FASGE,6 Douglas S. Fishman, MD, FASGE,7 Suryakanth R. Gurudu, MD, FASGE,8 Mouen A. Khashab, MD,9 Laith H. Jamil, MD, FASGE,10 Terry L. Jue, MD, FASGE,11 Joanna K. Law, MD, FASGE,12 Jeffrey K. Lee, MD, MAS,13 Mariam Naveed, MD,14 Bashar J. Qumseya, MD, FASGE,15 Mandeep S. Sawhney, MD, FASGE,16 Nirav Thosani, MD,17 Julie Yang, MD, FASGE,18 John M. DeWitt, MD, FASGE,19 Sachin Wani, MD, FASGE20 ASGE Standards of Practice Committee Chair
Title : ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy
Doi org link : https://doi.org/10.1016/j.gie.2019.04.234
Volume : Gastrointest Endosc 2019; Volume 90, Issue 2; P171-182.E1
URL :
Select a choice : Keep
Content created : Jan 3, 2020, 00:00 AM
File size :
Number :
ExternalPK :
Categories :
  • Anatomy
  • Colonoscopy
  • Procedures
  • Rectal
Tags :
  • colonoscopy
  • Radiation Proctopathy
  • Rectal
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