Society guideline links: Gastrointestinal bleeding in adults

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Gastrointestinal bleeding in children" and "Society guideline links: Colonic diverticular disease".)

International

●International Consensus Upper Gastrointestinal Bleeding Conference Group: Guideline recommendations on the management of nonvariceal upper gastrointestinal bleeding (2019)

●World Gastroenterology Organisation (WGO): Guideline on esophageal varices (2014)

●WGO: Practice guideline on diverticular disease (2007)

Canada

●American College of Gastroenterology (ACG)-Canadian Association of Gastroenterology (CAG): Clinical practice guideline for the management of anticoagulants and antiplatelets during acute gastrointestinal bleeding and the periendoscopic period (2022)

●CAG: Clinical practice guidelines for the use of video capsule endoscopy (2017)

United States

●American College of Gastroenterology (ACG)-Canadian Association of Gastroenterology (CAG): Clinical practice guideline for the management of anticoagulants and antiplatelets during acute gastrointestinal bleeding and the periendoscopic period (2022)

●American College of Radiology (ACR): ACR Appropriateness Criteria on radiologic management of lower gastrointestinal tract bleeding, update (2021)

●ACG: Clinical guideline on upper gastrointestinal and ulcer bleeding (2021)

●American Society for Gastrointestinal Endoscopy (ASGE): Guideline on adverse events associated with ERCP (2017)

●ASGE: Guideline on the role of endoscopy in the management of suspected small-bowel bleeding (2017)

●ACG: Clinical guideline for management of patients with acute lower gastrointestinal bleeding (2016)

●ACR: ACR Appropriateness Criteria on nonvariceal upper gastrointestinal bleeding (2016)

●ASGE: Guideline for the management of antithrombotic agents for patients undergoing GI endoscopy (2016)

●ACG: Clinical guideline on diagnosis and management of small bowel bleeding (2015)

●ASGE: Guideline on antibiotic prophylaxis for GI endoscopy (2015)

●ASGE: Guideline on the role of endoscopy in the bariatric surgery patient (2015)

●ASGE: Guideline on the role of endoscopy in the management of premalignant and malignant conditions of the stomach (2015)

●ASGE: Quality indicators for GI endoscopic procedures (2015)

●ASGE: Guideline on the role of endoscopy in the management of variceal hemorrhage (2014)

●ASGE: Guideline on the role of endoscopy in the patient with lower GI bleeding (2014)

●Choosing Wisely: Don't perform surveillance esophagogastroduodenoscopy (EGD) in patients with compensated cirrhosis and small varices without red signs treated with non-selective beta blockers for preventing a first variceal bleed (2014)

●ASGE: Guideline on adverse events associated with EUS and EUS with FNA (2013)

●ASGE: Guideline on modifications in endoscopic practice for the elderly (2013)

●Choosing Wisely: Don't prescribe medications for stress ulcer prophylaxis to medical inpatients unless at high risk for GI complications (2013)

●ASGE: Guideline on the appropriate use of GI endoscopy (2012)

●ASGE: Guideline on the role of endoscopy in the management of acute non-variceal upper GI bleeding (2012)

●ASGE: Guideline on complications of colonoscopy (2011)

●American College of Cardiology Foundation (ACCF), ACG, and the American Heart Association (AHA): Expert consensus document on the concomitant use of proton pump inhibitors and thienopyridines – A focused update of the ACCF/ACG/AHA 2008 expert consensus document on reducing the gastrointestinal risks of antiplatelet therapy and NSAID use (2010)

●ASGE: The role of endoscopy in the management of patients with peptic ulcer disease (2010)

●Department of Veterans Affairs (VA) Hepatitis C Resource Center Program and the National Hepatitis C Program: Recommendations for management and treatment of patients with cirrhosis and portal hypertension (2009)

●ACG: Practice guideline for prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis (2007)

Europe

●European Society of Gastrointestinal Endoscopy (ESGE): Guideline for esophageal stenting for benign and malignant disease, update (2021)

●ESGE: Cascade guideline on endoscopic treatment of variceal upper gastrointestinal bleeding (2020)

●ESGE: Cascade guideline for esophageal stenting for benign and malignant disease (2019)

●ESGE: Guideline on bowel preparation for colonoscopy, update (2019)

●ESGE: Cascade guideline on nonvariceal upper gastrointestinal hemorrhage (2018)

●ESGE: Clinical guideline on colorectal polypectomy and endoscopic mucosal resection (EMR) (2017)

●British Society of Gastroenterology (BSG) and ESGE: Guideline on endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants (2016)

●ESGE: Clinical guideline on papillary cannulation and sphincterotomy techniques at ERCP (2016)

●ESGE: Quality improvement initiative – Performance measures for upper gastrointestinal endoscopy (2016)

●ESGE: Clinical guideline on small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders (2015)

●ESGE: Guideline for diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (2015)

●ESGE: Guideline on endoscopic submucosal dissection (2015)

United Kingdom

●British Society of Gastroenterology (BSG): Guidelines for the management of iron deficiency anaemia in adults (2011, updated 2021)

●BSG: Guidelines for diagnosis and management of acute lower gastrointestinal bleeding (2019)

●BSG and European Society of Gastrointestinal Endoscopy (ESGE): Guideline on endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants (2016)

●National Institute for Health and Care Excellence (NICE): Clinical guideline on acute upper gastrointestinal bleeding in over 16s – Management (2012, update 2016)

●NICE: Guideline on cirrhosis in over 16s – Assessment and management (2016)

●BSG: UK guidelines on the management of variceal haemorrhage in cirrhotic patients (2015)

●NICE: Guideline on blood transfusion (2015)

●NICE: Quality standard on acute upper gastrointestinal bleeding in adults (2013)

●BSG, Association of Colo-Proctology of Great Britain and Ireland (ACPGBI), Association of Upper Gastrointestinal Surgeons (AUGIS), and the Royal College of Radiologists (RCR): Practice guidance on the management of acute and chronic gastrointestinal problems arising as a result of treatment for cancer (2011)

●NICE: Interventional procedures guidance on stent insertion for bleeding oesophageal varices (2011)

●BSG, British Committee for Standards in Haematology (BCSH), and the British Cardiovascular Intervention Society (BCIS): Guidelines for the management of anticoagulant and antiplatelet therapy in patients undergoing endoscopic procedures (2008)

Japan

●Japan Gastroenterological Association (JGA): Guidelines for colonic diverticular bleeding and colonic diverticulitis (2019)

●Japan Gastroenterological Endoscopy Society (JGES): Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment – 2017 appendix on anticoagulants including direct oral anticoagulants (published 2018)

●JGES: Clinical practice guideline for enteroscopy (2017)

●JGES: Guidelines for endoscopic management of non-variceal upper gastrointestinal bleeding (2016)

●JGES: Guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection (2015)

●JGES: Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment (2014)