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American Society for Gastrointestinal Endoscopy guideline on the diagnosis and management of GERD: summary and recommendations.
Gastrointest Endosc
December 2024
Department of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA.
This clinical practice guideline from the American Society for Gastrointestinal Endoscopy (ASGE) provides an evidence-based approach for strategies to diagnose and manage GERD. This document was developed using the Grading of Recommendations Assessment, Development, and Evaluation framework and serves as an update to the 2014 ASGE guideline on the role of endoscopy in the management of GERD. This updated guideline addresses the indications for endoscopy in patients with GERD as well as in the emerging population of patients who develop GERD after sleeve gastrectomy or peroral endoscopic myotomy.
View Article and Find Full Text PDFLevels of evidence supporting recommendations in gastroenterology.
Clin Transl Gastroenterol
December 2024
Harvard Medical School, Boston MA.
Introduction: We aimed to analyze gastrointestinal guidelines to assess quality of evidence and strength of recommendation.
Methods: We abstracted clinical practice guidelines and guidance statements from 4 American GI societies (ACG, AGA, ASGE and AASLD) and the United States Multi-Society Task Forc.
Results: Of the 3,609 statements analyzed, only 13% were supported by high level of evidence.
American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: summary and recommendations.
Gastrointest Endosc
January 2025
Department of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA.
Article Synopsis
- * It favors percutaneous endoscopic gastrostomy (PEG) over interventional radiology-guided options and recommends starting tube feeding within 4 hours post-procedure.
- * Additionally, the guideline states that antiplatelet medications usually don’t need to be stopped before PEG, while anticoagulant management should involve a team discussion considering bleeding and cardiovascular risks.
Endoscopic devices and techniques for the management of gastric varices (with videos).
Gastrointest Endosc
October 2024
Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Background And Aims: Gastric variceal bleeding occurs less commonly than bleeding from esophageal varices (EVs), although it is associated with higher morbidity and mortality. Bleeding from gastroesophageal varices type 1 (GOV1) is treated like EVs. In contrast, other forms of gastric variceal bleeding, including gastroesophageal varices type 2 (GOV2) and isolated gastric varices types 1 (IGV1) and 2 (IGV2), are treated with varying endoscopic approaches.
View Article and Find Full Text PDFAmerican Society for Gastrointestinal Endoscopy clinical practice guideline development policy and checklist.
Gastrointest Endosc
October 2024
Department of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA.
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