順秞湮圖 Guidelines

順秞湮圖 evidence-based guidelines provide clinicians with recommendations for the evaluation, diagnosis, and management of patients undergoing endoscopic procedures of the digestive tract. Guidelines are not a substitute for physicians’ opinion on individual patients. Final decision on an intervention should always be based on local expertise and patient preferences.

All recommendations follow a rigorous process based on a systematic review of medical literature as outlined by the National Academy of Medicine (formerly Institute of Medicine) standards for guideline development.

Whenever possible, guidelines are based on the  (Grading of Recommendation Assessment, Development and Evaluation) methodology.

Panels consist of content experts, stakeholders from other specialties, patient representatives, and members of the 順秞湮圖 Standards of Practice (SOP) Committee.

Each recommendation is based on consideration of the best medical literature, the balance between risks and benefits, cost-effectiveness, patients’ values, and equity.

Panel members provide ongoing conflict of interest (COI) disclosures, including intellectual conflicts of interest, throughout the development and publication of all guidelines in accordance with the 順秞湮圖 Policy for Managing Declared Conflicts of Interests.

順秞湮圖 strives to provide clinically relevant and practical recommendations, which can help standardize patient care and improve outcomes.

If you have any questions or suggestions, please contact Customer Support at Info@asge.org.

The following information is intended only to provide general information and not as a definitive basis for diagnosis or treatment in any particular case. It is very important that you consult your doctor about your specific condition.

Newly Published

  • Gastrointest Endosc 2025; Volume 101, Issue 4; P702-732 DOI: 10.1016/j.gie.2025.02.010

  • Gastrointest Endosc 2025; Volume 101, Issue 2; P267-284 DOI: 10.1016/j.gie.2024.10.008

  • VideoGIE 2025; Volume 10, Issue2; P81-137 DOI: 10.1016/j.vgie.2024.10.001

  • Gastrointest Endosc 2025; Volume 101, Issue 1: E1-53 DOI: 10.1016/j.gie.2024.05.017

  • Gastrointest Endosc 2024; Volume 100, Issue 5; P786-796 DOI: 10.1016/j.gie.2024.06.002

  • Gastrointest Endosc 2024; Volume 100, Issue 5; E1-E78 DOI: 10.1016/j.gie.2024.06.003

  • Gastrointest Endosc 2024; Volume 100, Issue 6; P967-979 DOI: 10.1016/j.gie.2024.03.027

  • Gastrointest Endosc 2024; Volume 100, Issue 6: E79-135 DOI: 10.1016/j.gie.2024.03.026

  • VideoGIE 2025; Volume 10, Issue 1; P1-23 DOI: 10.1016/j.vgie.2024.09.014

  • Gastrointest Endosc 2024; Volume 100, Issue 4; P584-594 DOI: 10.1016/j.gie.2024.05.016

  • Gastrointest Endosc 2023; Volume 98, Issue 5; P685-693

  • Gastrointest Endosc 2023; Volume 98, Issue 5; P694-712.E8

  • Gastrointest Endosc 2023; Volume 98, Issue 4; P482-491

  • Gastrointest Endosc 2023; Volume 98, Issue 4; P492-512.E1

  • Gastrointest Endosc 2023; Volume 98, Issue 3; P271-284

  • Gastrointest Endosc 2023; Volume 98, Issue 3; P285-305.E38

  • Gastrointest Endosc 2023; Volume 97, Issue 4; P607-614

  • Gastrointest Endosc 2023; Volume 97, Issue 4; P615637.E11

  • Gastrointest Endosc 2023; Volume 97, Issue 2; P153-162

  • Gastrointest Endosc 2023; Volume 97, Issue 2; P163-183.E40

  • Gastrointest Endosc 2022; Volume 96, Issue 3; P389-401.E1

  • Gastrointest Endosc 2022; Volume 95, Issue 2; P207-215.E2

  • Gastrointest Endosc 2022; Volume 95, Issue 5; P817-826

  • Gastrointest Endosc 2022; Volume 95, Issue 5; P827-854.E3

  • Gastrointest Endosc 2022; Volume 95, Issue 2; P207-215.E2

  • Gastrointest Endosc 2022; Volume 95, Issue 1; P16-26.E2

  • Gastrointest Endosc 2021; Volume 95, Issue 1; P1-15

  • Gastrointest Endosc 2021; Volume 94, Issue 2; P207-221.E14

  • Gastrointest Endosc 2021; Volume 94, Issue 2; P222-234.E22

  • Gastrointest Endosc 2021; Volume 93, Issue 2; P309-322.E4

  • Gastrointest Endosc 2020; Volume 91, Issue 5; P963-982.E2

  • Gastrointest Endosc 2020; Volume 91, Issue 4; P723-729.E17

  • Gastrointest Endosc 2020; Volume 92, Issue 5; P997-1150.E1

  • Gastrointest Endosc 2020; Volume 91, Issue 3; P486-519

  • Gastrointest Endosc 2020; Volume 91, Issue 3; P463-485.E5

  • Gastrointest Endosc 2020; Volume 91, Issue 2; P228-235

  • Gastrointest Endosc 2020; Volume 91, Issue 2; P213-227.E6
GRADE Guidelines

  • Gastrointest Endosc 2025; Volume 101, Issue 2; P267-284 DOI: 10.1016/j.gie.2024.10.008

  • VideoGIE 2025; Volume 10, Issue2; P81-137 DOI: 10.1016/j.vgie.2024.10.001

  • Gastrointest Endosc 2025; Volume 101, Issue 1; P25-35 DOI: 10.1016/j.gie.2024.05.016

  • VideoGIE 2025; Volume 10, Issue 1; P1-23 DOI: 10.1016/j.vgie.2024.09.014

  • Gastrointest Endosc 2024; Volume 100, Issue 5; P786-796 DOI: 10.1016/j.gie.2024.06.002

  • Gastrointest Endosc 2024; Volume 100, Issue 5; E1-E78 DOI: 10.1016/j.gie.2024.06.003

  • Gastrointest Endosc 2024; Volume 100, Issue 6; P967-979 DOI: 10.1016/j.gie.2024.03.027

  • Gastrointest Endosc 2024; Volume 100, Issue 6: E79-135 DOI: 10.1016/j.gie.2024.03.026

  • Gastrointest Endosc 2024; Volume 100, Issue 4; P584-594 DOI: 10.1016/j.gie.2024.05.016

  • Gastrointest Endosc 2025; Volume 101, Issue 1: E1-53 DOI: 10.1016/j.gie.2024.05.017

  • Gastrointest Endosc 2023; Volume 98, Issue 5; P685-693

  • Gastrointest Endosc 2023; Volume 98, Issue 5; P694-712.E8

  • Gastrointest Endosc 2023; Volume 98, Issue 4; P482-491

  • Gastrointest Endosc 2023; Volume 98, Issue 4; P492-512.E1

  • Gastrointest Endosc 2023; Volume 98, Issue 3; P271-284

  • Gastrointest Endosc 2023; Volume 98, Issue 3; P285-305.E38

  • Gastrointest Endosc 2023; Volume 97, Issue 4; P607-614

  • Gastrointest Endosc 2023; Volume 97, Issue 4; P615637.E11

  • Gastrointest Endosc 2023; Volume 97, Issue 2; P153-162

  • Gastrointest Endosc 2023; Volume 97, Issue 2; P163-183.E40

  • Gastrointest Endosc 2022; Volume 95, Issue 5; P817-826

  • Gastrointest Endosc 2021; Volume 94, Issue 2; P207-221.E14

  • Gastrointest Endosc 2021; Volume 94, Issue 2; P222-234.E22

  • Gastrointest Endosc 2020; Volume 91, Issue 2; P213-227.E6

  • Gastrointest Endosc 2019; Volume 90, Issue 3; P335-359.E2

  • Gastrointest Endosc 2019; Volume 89, Issue 6; P1075-1105.E15

  • Gastrointest Endosc 2018; Volume 87, Issue 4; P907-931.E9
Upper GI

  • VideoGIE 2025; Volume 10, Issue2; P81-137 DOI: 10.1016/j.vgie.2024.10.001

  • Gastrointest Endosc 2025; Volume 101, Issue 2; P267-284 DOI: 10.1016/j.gie.2024.10.008

  • VideoGIE 2025; Volume 10, Issue 1; P1-23 DOI: 10.1016/j.vgie.2024.09.014

  • Gastrointest Endosc 2023; Volume 98, Issue 3; P271-284

  • Gastrointest Endosc 2023; Volume 98, Issue 3; P285-305.E38

  • Gastrointest Endosc 2021; Volume 93, Issue 2; P309-322.E4

  • Gastrointest Endosc 2020; Volume 91, Issue 2; P213-227.E6

  • Gastrointest Endosc 2019; Volume 90, Issue 3; P335-359.E2

  • Gastrointest Endosc 2018; Volume 87, Issue 4; P907-931.E9

  • Gastrointest Endosc 2015; Volume 82, Issue 2; P227232

  • Gastrointest Endosc 2015; Volume 82, Issue 1; P1-8

  • Gastrointest Endosc 2015; Volume 81, Issue 6; P13051310

  • Gastrointest Endosc 2015; Volume 81, Issue 5; P10631072

  • Gastrointest Endosc 2014; Volume 79, Issue 2; P191-201

  • Gastrointest Endosc 2013; Volume 77, Issue 3; P328-344

  • Gastrointest Endosc 2011; Volume 73, Issue 6; P1085-1091
Lower GI

  • Gastrointest Endosc 2020; Volume 91, Issue 3; P486-519

  • Gastrointest Endosc 2020; Volume 91, Issue 3; P463-485.E5

  • Gastrointest Endosc 2020; Volume 91, Issue 2; P228-235

  • Gastrointest Endosc 2019; Volume 90, Issue 2; P171-182.E1

  • Gastrointest Endosc 2017; Volume 86, Issue 1; P18-33

  • Gastrointest Endosc 2017; Volume 85, Issue 1; P2-21.E3

  • Gastrointest Endosc 2017; Volume 85, Issue 1; P22-31

  • Gastrointest Endosc 2016; Volume 83, Issue 3; P489-498.E10

  • Gastrointest Endosc 2015; Volume 81, Issue 5; P11011121.E13

  • Gastrointest Endosc 2015; Volume 81, Issue 3; P489-501.E26

  • Gastrointest Endosc 2015; Volume 82, Issue 4; P600607

  • Gastrointest Endosc 2014; Volume 80, Issue 4; P563-565

  • Gastrointest Endosc 2014; Volume 79, Issue 6; P875-885

  • Gastrointest Endosc 2010; Volume 71, Issue 6; P887-892; Reviewed and reapproved November 2014

  • Gastrointest Endosc 2013; Volume 78, Issue 1; P8-12

  • Gastroenterology 2012; Volume 143, Issue 3; P844-857

  • Gastrointest Endosc 2010; Volume 72, Issue 6; P1117-1123
Biliary and Pancreatic Endoscopy

  • Gastrointest Endosc 2024; Volume 100, Issue 5; P786-796 DOI: 10.1016/j.gie.2024.06.002

  • Gastrointest Endosc 2024; Volume 100, Issue 5; E1-E78 DOI: 10.1016/j.gie.2024.06.003

  • Gastrointest Endosc 2024; Volume 100, Issue 6; P967-979 DOI: 10.1016/j.gie.2024.03.027

  • Gastrointest Endosc 2024; Volume 100, Issue 6: E79-135 DOI: 10.1016/j.gie.2024.03.026

  • Gastrointest Endosc 2024; Volume 100, Issue 4; P584-594 DOI: 10.1016/j.gie.2024.05.016

  • Gastrointest Endosc 2025; Volume 101, Issue 1: E1-53 DOI: 10.1016/j.gie.2024.05.017

  • Gastrointest Endosc 2023; Volume 98, Issue 5; P685-693

  • Gastrointest Endosc 2023; Volume 98, Issue 5; P694-712.E8

  • Gastrointest Endosc 2023; Volume 97, Issue 4; P607-614

  • Gastrointest Endosc 2023; Volume 97, Issue 4; P615637.E11

  • Gastrointest Endosc 2023; Volume 97, Issue 2; P153-162

  • Gastrointest Endosc 2023; Volume 97, Issue 2; P163-183.E40

  • Gastrointest Endosc 2021; Volume 94, Issue 2; P207-221.E14

  • Gastrointest Endosc 2021; Volume 94, Issue 2; P222-234.E22

  • Gastrointest Endosc 2019; Volume 89, Issue 6; P1075-1105.E15

  • Gastrointest Endosc 2016; Volume 84, Issue 1; P1-9

  • Gastrointest Endosc 2016; Volume 83, Issue 3; P481-488

  • Gastrointest Endosc 2016; Volume 83, Issue 1; P17-28

  • Gastrointest Endosc 2015; Volume 82, Issue 2; P203-214

  • Gastrointest Endosc 2015; Volume 81, Issue 4; P795-803

  • Gastrointest Endosc 2013; Volume 77, Issue 2; P167-174

  • Gastrointest Endosc 2011; Volume 74, Issue 2; P239-245
Adverse Events

  • Gastrointest Endosc 2022; Volume 96, Issue 3; P389-401.E1

  • Gastrointest Endosc 2022; Volume 95, Issue 1; P16-26.E2

  • Gastrointest Endosc 2017; Volume 85, Issue 1; P32-47

  • Gastrointest Endosc 2012; Volume 76, Issue 4; P707-718
Privileging and Credentialing

  • Gastrointest Endosc 2017; Volume 85, Issue 2; P273281

  • Gastrointest Endosc 2015; Volume 82, Issue 5; P767772
GI Endoscopy Unit Operations

  • Gastrointest Endosc 2023; Volume 98, Issue 4; P482-491

  • Gastrointest Endosc 2023; Volume 98, Issue 4; P492-512.E1

  • Gastrointest Endosc 2022; Volume 95, Issue 2; P207-215.E2

  • Gastrointest Endosc 2022; Volume 95, Issue 2; P207-215.E2

  • Gastrointest Endosc 2018; Volume 87, Issue 5; P1167-1179

  • Gastrointest Endosc 2015; Volume 82, Issue 4; P593599

  • Gastrointest Endosc 2015; Volume 81, Issue 6; P13261329

  • Kaul V and Faigel D. American Society for Gastrointestinal Endoscopy. 24 April 2015.

  • Gastrointest Endosc 2014; Volume 79, Issue 3; P363-372

  • Gastrointest Endosc 2012; Volume 75, Issue 6; P1127-1131
Screening and Surveillance in Premalignant Conditions

  • Gastrointest Endosc 2020; Volume 91, Issue 5; P963-982.E2

  • Gastrointest Endosc 2019; Volume 90, Issue 3; P335-359.E2

  • Gastrointest Endosc 2015; Volume 82, Issue 1; P1-8
Procedural Management in Endoscopy

Guidelines for sedation and anesthesia in GI endoscopy

Jan 30, 2018, 15:03 PM
This document is an update of guidelines for sedation and anesthesia in endoscopy prepared by the Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (順秞湮圖). In preparing this guideline, a search of the medical literature was performed by using PubMed from January 1980 through August 2017 that related to the topic of sedation and anesthesia for gastrointestinal endoscopy by using the keyword(s) sedation, anesthesia, gastrointestinal endoscopy, endoscopy, endoscopic procedures, and procedures. The search was supplemented by accessing the related articles feature of PubMed, with articles identified on PubMed as the references. Pertinent studies published in English were reviewed. Additional references were obtained from the bibliographies of the identified articles and from recommendations of expert consultants. When little or no data existed from well-designed prospective trials, emphasis was given to results from large series and reports from recognized experts. Guidelines for appropriate use of endoscopy are based on a critical review of the available data and expert consensus at the time the guidelines were drafted. Further controlled clinical studies may be needed to clarify aspects of this guideline. This guideline may be revised as necessary to account for changes in technology, new data, or other aspects of clinical practice. The recommendations were based on reviewed studies and were graded on the strength of the supporting evidence by using the GRADE criteria (Table 1).1
順秞湮圖 Standards of Practice Committee, Dayna S. Early, MD, F順秞湮圖 , Jenifer R. Lightdale, MD, MPH, F順秞湮圖 , John J. Vargo II, MD, MPH, F順秞湮圖 (invited content expert, ad hoc member) , Ruben D. Acosta, MD , Vinay Chandrasekhara, MD , Krishnavel V. Chathadi, MD , John A. Evans, MD , Deborah A. Fisher, MD, MHS, F順秞湮圖 , Lisa Fonkalsrud, BSN, RN, CGRN , Joo Ha Hwang, MD, PhD, F順秞湮圖 , Mouen A. Khashab, MD , V. Raman Muthusamy, MD, F順秞湮圖 , Shabana F. Pasha, MD, F順秞湮圖 , John R. Saltzman, MD, F順秞湮圖 , Amandeep K. Shergill, MD , Brooks D. Cash, MD, F順秞湮圖 (Previous Committee Chair) , John M. DeWitt, MD, F順秞湮圖 (Committee Chair)
Guyatt, G.H., Oxman, A.D., Vist, G.E. et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008; 336: 924926 View in Article | Crossref | PubMed Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002; 96: 10041017 View in Article | Crossref | PubMed | Scopus (1241) Faigel, D.O., Baron, T.H., Goldstein, J.L. et al. Guidelines for the use of deep sedation and anesthesia for GI endoscopy. Gastrointest Endosc. 2002; 56: 613617 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (164) Vargo, J.J., Cohen, L.B., Rex, D.K. et al. Position statement: nonanesthesiologist administration of propofol for GI endoscopy. Gastrointest Endosc. 2009; 70: 10531059 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (71) Vargo, J.J., DeLegge, M.H., Feld, A.D. et al. Multisociety sedation curriculum for gastrointestinal endoscopy. Gastrointest Endosc. 2012; 76: e1e25 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (52) Waring, J.P., Baron, T.H., Hirota, W.K. et al. Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy. Gastrointest Endosc. 2003; 58: 317322 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (236) Chutkan, R., Cohen, J., Abedi, M. et al. Training guideline for use of propofol in gastrointestinal endoscopy. Gastrointest Endosc. 2004; 60: 167172 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (90) Zuckerman, M.J., Shen, B., Harrison, M.E. 3rd et al. Informed consent for GI endoscopy. Gastrointest Endosc. 2007; 66: 213218 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (43) Godwin, S.A., Burton, J.H., Gerardo, C.J. et al. Clinical policy: procedural sedation and analgesia in the emergency department. Ann Emerg Med. 2014; 63: 247258.e18 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (71) Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology. 2011; 114: 495511 View in Article | Crossref | PubMed | Scopus (368) Khiani, V.S., Soulos, P., Gancayco, J. et al. Anesthesiologist involvement in screening colonoscopy: temporal trends and cost implications in the Medicare population. Clin Gastroenterol Hepatol. 2012; 10: 5864.e1 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (34) Cha, J.M., Jeun, J.W., Pack, K.M. et al. Risk of sedation for diagnostic esophagogastroduodenoscopy in obstructive sleep apnea patients. World J Gastroenterol. 2013; 19: 47454751 View in Article | Crossref | PubMed | Scopus (11) 順秞湮圖 Standards of Practice Committee, Pasha, S.F., Acosta, R., Chandrasekhara, V. et al. Routine laboratory testing before endoscopic procedures. Gastrointest Endosc. 2014; 80: 2833 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (9) 順秞湮圖 Standards of Practice Committee, Shergill, A.K., Ben-Menachem, T., Chandrasekhara, V. et al. Guidelines for endoscopy in pregnant and lactating women. Gastrointest Endosc. 2012; 76: 1824 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (42) American Society of Anesthesiology Physical Status Classification System 2014. Available at: http://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system. Accessed April 19, 2015. Enestvedt, B.K., Eisen, G.M., Holub, J. et al. Is the American Society of Anesthesiologists classification useful in risk stratification for endoscopic procedures?. Gastrointest Endosc. 2013; 77: 464471 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (29) Sharma, V.K., Nguyen, C.C., Crowell, M.D. et al. A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc. 2007; 66: 2734 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (209) Ragsdale, J.A. Validating patient safety in the endoscopy unit using the Joint Commission Standards. Gastroenterol Nurs. 2011; 34: 218223 View in Article | Crossref | PubMed | Scopus (1) American College of Surgeons. Statement on ensuring correct patient, correct site, and correct procedure surgery 2002. Available at https://www.facs.org/about-acs/statements/41-correct-patient-procedure. Accessed June 14, 2015. Calderwood, A.H., Chapman, F.J., Cohen, J. et al. Guidelines for safety in the gastrointestinal endoscopy unit. Gastrointest Endosc. 2014; 79: 363372 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (27) Bell, G.D., Bown, S., Morden, A. et al. Prevention of hypoxaemia during upper-gastrointestinal endoscopy by means of oxygen via nasal cannulae. Lancet. 1987; 1: 10221024 View in Article | Abstract | PubMed | Scopus (99) Gerstenberger, P.D. Capnography and patient safety for endoscopy. Clin Gastroenterol Hepatol. 2010; 8: 423425 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (10) Lightdale, J.R., Goldmann, D.A., Feldman, H.A. et al. Microstream capnography improves patient monitoring during moderate sedation: a randomized, controlled trial. Pediatrics. 2006; 117: 11701178 View in Article | Crossref | PubMed | Scopus (163) Qadeer, M.A., Vargo, J.J., Dumot, J.A. et al. Capnographic monitoring of respiratory activity improves safety of sedation for endoscopic cholangiopancreatography and ultrasonography. (quiz 819-20)Gastroenterology. 2009; 136: 15681576 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (129) Vargo, J.J. 2nd. Sedation-related complications in gastrointestinal endoscopy. Gastrointest Endosc Clin N Am. 2015; 25: 147158 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (5) Friedrich-Rust, M., Welte, M., Welte, C. et al. Capnographic monitoring of propofol-based sedation during colonoscopy. Endoscopy. 2014; 46: 236244 View in Article | Crossref | PubMed | Scopus (1) Mehta PP, Kochhar G, Albeldawi M, et al. Capnographic monitoring in routine EGD and colonoscopy with moderate sedation: a prospective, randomized, controlled trial. Am J Gastroenterol. Epub 2016 Feb 23. Cohen, L.B., Ladas, S.D., Vargo, J.J. et al. Sedation in digestive endoscopy: the Athens international position statements. Aliment Pharmacol Ther. 2010; 32: 425442 View in Article | Crossref | PubMed | Scopus (50) Petrini, J.L., Egan, J.V., and Hahn, W.V. 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Gastrointest Endosc. 1999; 49: 554559 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (145) Paggi, S., Radaelli, F., Amato, A. et al. Unsedated colonoscopy: an option for some but not for all. Gastrointest Endosc. 2012; 75: 392398 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (12) Hedenbro, J.L. and Lindblom, A. Patient attitudes to sedation for diagnostic upper endoscopy. Scand J Gastroenterol. 1991; 26: 11151120 View in Article | Crossref | PubMed | Scopus (29) Ladas, S.D. Factors predicting the possibility of conducting colonoscopy without sedation. Endoscopy. 2000; 32: 688692 View in Article | Crossref | PubMed | Scopus (23) Bell, G.D. Preparation, premedication, and surveillance. Endoscopy. 2004; 36: 2331 View in Article | Crossref | PubMed | Scopus (47) Wu, J. and Hu, B. The role of carbon dioxide insufflation in colonoscopy: a systematic review and meta-analysis. Endoscopy. 2012; 44: 128136 View in Article | Crossref | PubMed | Scopus (65) Cadoni, S., Falt, P., Gallittu, P. et al. Water exchange is the least painful insertion technique and increases completion of unsedated colonoscopy. Clin Gastroenterol Hepatol. 2015; 13: 19721980 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (20) Evans, L.T., Saberi, S., Kim, H.M. et al. Pharyngeal anesthesia during sedated EGDs: Is the spray beneficial? A meta-analysis and systematic review. Gastrointest Endosc. 2006; 63: 761766 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (47) de la Morena, F., Santander, C., Esteban, C. et al. Usefulness of applying lidocaine in esophagogastroduodenoscopy performed under sedation with propofol. World J Gastrointest Endosc. 2013; 16: 231239 View in Article | Crossref Tsai, H., Tsai, Y.F., Liou, S.C. et al. The questionable efficacy of topical pharyngeal anesthesia in combination with propofol sedation in gastroscopy. 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A randomized double-blind placebo-controlled trial evaluating the cost-effectiveness of droperidol as a sedative premedication for EUS. Gastrointest Endosc. 1999; 50: 178182 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (13) Yimcharoen, P., Fogel, E.L., Kovacs, R.J. et al. Droperidol, when used for sedation during ERCP, may prolong the QT interval. Gastrointest Endosc. 2006; 63: 979985 View in Article | Abstract | Full Text | Full Text PDF | PubMed | Scopus (14) Gan, T.J. Black box warning on droperidol: report of the FDA convened expert panel. Anesth Analg. 2004; 98: 1809 View in Article | Crossref | PubMed Young, D. FDA advisory panel discusses droperidol concerns. (22)Am J Health Sys Pharm. 2004; 61: 219220 View in Article | PubMed Tu, R.H., Grewall, P., Leung, J.W. et al. Diphenhydramine as an adjunct to sedation for colonoscopy: a double-blind randomized, placebo-controlled study. 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Title : Guidelines for sedation and anesthesia in GI endoscopy
Doi org link : http://dx.doi.org/10.1016/j.gie.2017.07.018
Volume : Gastrointest Endosc 2018; Volume 87, Issue 2; P327-337
URL :
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Categories :
  • ERCP/Cholangioscopy
  • Lower GI
  • Preparation for Endoscopy
  • Sedation
  • Upper GI
Tags :
  • EUS
  • Lower GI
  • sedation
  • Upper GI
Miscellaneous

  • Gastrointest Endosc 2020; Volume 91, Issue 5; P963-982.E2

  • Gastrointest Endosc 2017; Volume 85, Issue 6; P1117-1132

  • Gastrointest Endosc 2011; Volume 74, Issue 1, P7-12; Reviewed and reapproved May 2016

  • Gastrointest Endosc 2015; Volume 82, Issue 5; P773-781

  • Gastrointest Endosc 2010; Volume 71, Issue 4; P663-668; Reviewed and reapproved May 2015

  • Gastrointest Endosc 2014; Volume 79, Issue 5; P699-710

  • Gastrointest Endosc 2013; Volume 78, Issue 2; P216-224
Guidelines in Spanish

In Progress Guidelines

順秞湮圖 Guideline on management of code status in the periendoscopic period

Estimated 2025

Quality in Endoscopy

Quality documents define the indicators of high-quality endoscopy and how to measure it. 順秞湮圖 quality indicators are based on a rigorous review process which results in valid metrics for evaluating GI endoscopic procedures.

Quality in Endoscopy

  • Gastrointest Endosc 2021; Volume 93, Issue 1; P11-33.E6

  • Gastrointest Endosc 2024; Volume 100, Issue 3: P382-394 DOI: 10.1016/j.gie.2024.05.001

  • Gastrointest Endosc 2024; Volume 100, Issue 3: P252-381 DOI: 10.1016/j.gie.2024.04.2905

  • Gastrointest Endosc 2025; Volume 101, Issue 2: P236-260 10.1016/j.gie.2024.08.023

  • Gastrointest Endosc 2025; Volume 101, Issue 5, 928-949.e1

  • Quality Interventions 2022; Volume 96, Issue 2, P171-183,

  • Quality Interventions 2022; Volume 96, Issue 2, P184-188.E4

  • Quality Interventions 2023; Volume 97, Issue 5, P825-838

  • Gastrointest Endosc 2022; Volume 96, Issue 5; P693-711

  • Gastrointest Endosc 2017; Volume 86, Issue 1; P1-17.E3

  • VideoGIE Volume 10, Issue 2p67-80February 2025

  • Gastrointest Endosc 2025; Volume 101, Issue 4: P733-744 DOI: 10.1016/j.gie.2024.06.030

  • Gastrointest Endosc 2023; Volume 98, Issue 4; P475-481

  • Gastrointest Endosc 2022; Volume 95, Issue 6; P1048-1059.E2

  • Gastrointest Endosc 2021; Volume 94, Issue 4; P685-697.E4

  • VideoGIE 2017; Volume 2, Issue 6; P119-140

  • Gastrointest Endosc 2014; Volume 79, Issue 3; P363-372

Public Comment

順秞湮圖 guidelines approaching publication are available on the website for 30 days for public comment. All reviewers are required to submit a conflict-of-interest disclosure and acknowledge a non-disclosure agreement for the guideline draft. All comments will be reviewed by the SOP Committee. Revisions to the draft are at the discretion of the lead authors and the SOP Committee.

順秞湮圖 Guideline on endoscopic management of benign and malignant colonic strictures


Endoscopic treatment for the management of complications post bariatric surgery: European Society of Gastrointestinal Endoscopy and American Society of Gastrointestinal Endoscopy position statement