Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology

This is the first UK national guideline to concentrate on acute lower gastrointestinal bleeding (LGIB) and has been commissioned by the Clinical Services and Standards Committee of the British Society of Gastroenterology (BSG). The Guidelines Development Group consisted of representatives from the B...

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Main Authors: Oakland, K, Chadwick, G, East, J, Guy, R, Humphries, A, Jairath, V, McPherson, S, Metzner, M, Morris, A, Murphy, M, Tham, T, Uberoi, R, Veitch, A, Wheeler, J, Regan, C, Hoare, J
Format: Journal article
Language:English
Published: BMJ 2019
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author Oakland, K
Chadwick, G
East, J
Guy, R
Humphries, A
Jairath, V
McPherson, S
Metzner, M
Morris, A
Murphy, M
Tham, T
Uberoi, R
Veitch, A
Wheeler, J
Regan, C
Hoare, J
author_facet Oakland, K
Chadwick, G
East, J
Guy, R
Humphries, A
Jairath, V
McPherson, S
Metzner, M
Morris, A
Murphy, M
Tham, T
Uberoi, R
Veitch, A
Wheeler, J
Regan, C
Hoare, J
author_sort Oakland, K
collection OXFORD
description This is the first UK national guideline to concentrate on acute lower gastrointestinal bleeding (LGIB) and has been commissioned by the Clinical Services and Standards Committee of the British Society of Gastroenterology (BSG). The Guidelines Development Group consisted of representatives from the BSG Endoscopy Committee, the Association of Coloproctology of Great Britain and Ireland, the British Society of Interventional Radiology, the Royal College of Radiologists, NHS Blood and Transplant and a patient representative. A systematic search of the literature was undertaken and the quality of evidence and grading of recommendations appraised according to the GRADE(Grading of Recommendations Assessment, Development and Evaluation) methodology. These guidelines focus on the diagnosis and management of acute LGIB in adults, including methods of risk assessment and interventions to diagnose and treat bleeding (colonoscopy, computed tomography, mesenteric angiography, endoscopic therapy, embolisation and surgery). Recommendations are included on the management of patients who develop LGIB while receiving anticoagulants (including direct oral anticoagulants) or antiplatelet drugs. The appropriate use of blood transfusion is also discussed, including haemoglobin triggers and targets.
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spelling oxford-uuid:b498f8ac-cff3-47d5-a7cf-bcb516cb066c2022-03-27T04:27:21ZDiagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of GastroenterologyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b498f8ac-cff3-47d5-a7cf-bcb516cb066cEnglishSymplectic Elements at OxfordBMJ2019Oakland, KChadwick, GEast, JGuy, RHumphries, AJairath, VMcPherson, SMetzner, MMorris, AMurphy, MTham, TUberoi, RVeitch, AWheeler, JRegan, CHoare, JThis is the first UK national guideline to concentrate on acute lower gastrointestinal bleeding (LGIB) and has been commissioned by the Clinical Services and Standards Committee of the British Society of Gastroenterology (BSG). The Guidelines Development Group consisted of representatives from the BSG Endoscopy Committee, the Association of Coloproctology of Great Britain and Ireland, the British Society of Interventional Radiology, the Royal College of Radiologists, NHS Blood and Transplant and a patient representative. A systematic search of the literature was undertaken and the quality of evidence and grading of recommendations appraised according to the GRADE(Grading of Recommendations Assessment, Development and Evaluation) methodology. These guidelines focus on the diagnosis and management of acute LGIB in adults, including methods of risk assessment and interventions to diagnose and treat bleeding (colonoscopy, computed tomography, mesenteric angiography, endoscopic therapy, embolisation and surgery). Recommendations are included on the management of patients who develop LGIB while receiving anticoagulants (including direct oral anticoagulants) or antiplatelet drugs. The appropriate use of blood transfusion is also discussed, including haemoglobin triggers and targets.
spellingShingle Oakland, K
Chadwick, G
East, J
Guy, R
Humphries, A
Jairath, V
McPherson, S
Metzner, M
Morris, A
Murphy, M
Tham, T
Uberoi, R
Veitch, A
Wheeler, J
Regan, C
Hoare, J
Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology
title Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology
title_full Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology
title_fullStr Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology
title_full_unstemmed Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology
title_short Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology
title_sort diagnosis and management of acute lower gastrointestinal bleeding guidelines from the british society of gastroenterology
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