RT Journal Article
SR Electronic
T1 Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology
JF Gut
JO Gut
FD BMJ Publishing Group Ltd and British Society of Gastroenterology
SP 776
OP 789
DO 10.1136/gutjnl-2018-317807
VO 68
IS 5
A1 Kathryn Oakland
A1 Georgina Chadwick
A1 James E East
A1 Richard Guy
A1 Adam Humphries
A1 Vipul Jairath
A1 Simon McPherson
A1 Magdalena Metzner
A1 A John Morris
A1 Mike F Murphy
A1 Tony Tham
A1 Raman Uberoi
A1 Andrew McCulloch Veitch
A1 James Wheeler
A1 Cuthbert Regan
A1 Jonathan Hoare
YR 2019
UL http://gut.bmj.com/content/68/5/776.abstract
AB 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.