ASGE Guidelines

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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. For more information, see the American Society for Gastrointestinal Endoscopy clinical practice guideline development policy and checklist.

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

The role of endoscopy in the management of patients with diarrhea

Nov 14, 2016, 20:27 PM
Diarrheal illnesses can be associated with significant morbidity and mortality, especially in high-risk populations such as the very young, the elderly, and those with comorbid medical illnesses. Diarrhea is defined in adults by abnormal stool weight (O200 g/day), consistency (loose or liquid), and/or frequency (O3 times/day).2,3 A 4-week symptom duration is generally considered as a cutoff point to distinguish acute (%4 weeks) from chronic (O4 weeks) diarrhea.2,3 Because the causes of acute and chronic diarrhea are often different, the need, threshold, and timing of endoscopic evaluation for acute versus chronic diarrhea are different. This document describes the role of endoscopy in the management of patients with diarrhea, with separate discussions for immunocompetent and immunocompromised patients, and is an update of a previous ASGE guideline.4 There are few indications for endoscopy in the management of acute diarrhea, and, although these are briefly discussed, the document primarily focuses on the evaluation on chronic diarrhea.
Title : The role of endoscopy in the management of patients with diarrhea
Doi org link : http://dx.doi.org/10.1016/j.gie.2009.11.025
Volume : Gastrointest Endosc 2010; Volume 71, Issue 6; P887-892; Reviewed and reapproved November 2014
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Content created : Apr 26, 2011, 10:21 AM
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ExternalPK : 12234
Categories :
  • Lower GI
Tags :
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 management of esophageal and gastric varices in patients with cirrhosis

Comment