Clinical Practice Guidelines and Consensus Reports

Clinical Practice Guidelines (CPG) and Consensus Reports are developed by the appropriate/pertinent committees (Practice Affairs, Endoscopy, Pediatrics, Hepatobiliary, Ethics) or individual members with a particular interest, on behalf of the Canadian Association of Gastroenterology (CAG) in order to outline the clinical approach to management problems or training issues.  After preparation, based on a review of the literature, each guideline/consensus report is made available to the CAG membership for review.  Finally, the guideline/consensus report is presented to the CAG Governing Board for further review and final approval.

CPGs and Consensus Reports are intended to give an understanding of a clinical problem and outline one or more preferred approaches to investigation and management of the problem.  While CPGs are intended to be useful to all physicians, it is recognized that specialists may rely less on practice guidelines than those in more general practice.  These guidelines are intended to give a practical approach to a problem based on the current literature, but are not intended to be state-of-the-art reviews with extensive references.  Consensus reports are derived in line with accepted literature surrounding the process and production of Consensus documents, and as such, provide an extensive and complete review of the literature.  More recently completed Consensus Reports have been developed in accordance with literature on accepted consensus process.  Download a copy of the CAG position surrounding the development of CPGs.

CPGs and Consensus Reports are developed to be of assistance to practising clinicians and are not intended to be the only approach to the management of clinical problems, nor are they intended to be considered as a ‘standard of care’.  The CAG recognizes that clinical circumstances may at times justify an approach different from that outlined in a practice guideline.  It is also recognized that new developments in medical research and clinical practice may require subsequent changes to the practice guideline.

Antibiotic prophylaxis for gastrointestinal endoscopy, 1999

Canadian credentialing guidelines for endoscopic retrograde cholangiopancreatography, June 2008

Canadian credentialing guidelines for endoscopic privileges: An overview 2008
Canadian Credentialing Guidelines for Colonoscopy, 2008 
Canadian Credentialing Guidelines for Flexible Sigmoidoscopy, 2008 
Clinical competence in diagnostic & therapeutic ERCP guideline, 1997
Colon cancer screening, 2004
Colonscopy preparation position, 2006
Clinical practice guidelines - a critical approach, 2000
Dysphagia guideline, 1998
GERD second consensus, 1998
GERD consensus update - 2004
Helicobacter pylori consensus (adults), 1998
Helicobacter pylori consensus (adults), 1999
Helicobacter pylori consensus (children & adolescents), 1999
Helicobacter pylori consensus (adults), 2004
Infliximab in Crohn's disease guideline, 2001
Infliximab in Crohn's disease guideline, 2004
Informed consent for gastrointestinal endoscopy guideline, 1997
Liver biopsy guideline, 2000
Liver enzyme tests guideline, 1998
Noncardiac chest pain guideline, 1998
Nonvariceal upper GI bleeding consensus, 2003
   - GI bleed information on pediatric patients
   - Canadian GI bleed practice algorithm, 2004
Viral hepatitis consensus, 1997
Viral hepatitis consensus, 2000
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