Society guideline links: Gastrointestinal perforation

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Thoracic trauma" and "Society guideline links: Traumatic abdominal and non-genitourinary retroperitoneal injury" and "Society guideline links: Esophagectomy".)

International

●World Society of Emergency Surgery (WSES): Guidelines on blunt and penetrating bowel injury – Diagnosis, investigations, and treatment (2022)

●WSES-American Association for the Surgery of Trauma (AAST): Guidelines for the management of inflammatory bowel disease in the emergency setting (2021)

●WSES-AAST: Guidelines on anorectal emergencies (2021)

●WSES: Guidelines on perforated and bleeding peptic ulcer (2020)

●WSES: Update of guidelines for the management of acute colonic diverticulitis in the emergency setting (2020)

●WSES: Guidelines on esophageal emergencies (2019)

●WSES: 2017 guidelines for the management of iatrogenic colonoscopy perforation (published 2018)

●WSES: Guidelines for management of intraabdominal infections – The management of intra-abdominal infections from a global perspective (2017)

●WSES: Position paper on oesophageal injuries, 2013 (published 2014)

●WSES: Position paper on management of perforated sigmoid diverticulitis (2013)

●WSES and Peritoneum and Surgery (PnS) Society: Consensus conference guidelines in the management of obstructing cancer of the left colon (2010)

Canada

●Choosing Wisely Canada: Don't use abdominal computed tomography (CT) scan to assess inflammatory bowel disease (IBD) in the acute setting unless there is suspicion of a complication (obstruction, perforation, abscess) or a non-IBD etiology for abdominal symptoms (2024)

●Canadian Association of Gastroenterology (CAG): Consensus guidelines on safety and quality indicators in endoscopy (2012)

●Antimicrobial Stewardship Corridor (ASC): Best practice in general surgery guideline #4 – Management of intra-abdominal infections (2011)

United States

●Surgical Infection Society (SIS): Guidelines on the management of intra-abdominal infection, update (2024)

●American Society for Gastrointestinal Endoscopy (ASGE): Guideline on adverse events associated with EGD and EGD-related techniques (2022)

●ASGE: Guideline on adverse events associated with EUS and EUS-guided procedures (2022)

●American Gastroenterological Association (AGA): Clinical practice update on endoscopic management of perforations in gastrointestinal tract – Expert review (2021)

●World Society of Emergency Surgery (WSES)-American Association for the Surgery of Trauma (AAST): Guidelines for the management of inflammatory bowel disease in the emergency setting (2021)

●WSES-AAST: Guidelines on anorectal emergencies (2021)

●ASGE: Guideline on adverse events associated with ERCP (2017)

●ASGE: Guideline on adverse events of upper GI endoscopy (2012)

Europe

●European Society of Gastrointestinal Endoscopy (ESGE): Guideline on esophageal stenting for benign and malignant disease, update (2021)

●ESGE: Guideline on self-expandable metal stents for obstructing colonic and extracolonic cancer, update (2020)

●ESGE: Position statement for the diagnosis and management of iatrogenic endoscopic perforations, update (2020)

Australia–New Zealand

●Choosing Wisely Australia: Do not repeat colonoscopies more often than recommended by the National Health and Medical Research Council (NHMRC) endorsed guidelines (reviewed 2016)