Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology

Published 2014. Under review for 2025.

Objective

The aim was to create updated guidelines for the management of adult coeliac disease (CD), but non-coeliac gluten sensitivity (NCGS) was not considered.

Development of the guidelines

The British Society of Gastroenterology (BSG) guidelines on the management of adult CD were originally published in 1996. Recently the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) published updated guidelines for paediatric CD,[1] but international guidelines for adult CD are scarce[2–5] since the NIH consensus6 on CD in 2005 (despite more than 4000 PubMed publications about CD in the last 8 years). As a result, the Clinical Services and Standards Committee of the BSG commissioned these guidelines, subject to rigorous peer review and based on a comprehensive review of the recent literature, including data from any available randomised controlled trials, systematic reviews, meta-analyses, cohort studies, prospective and retrospective studies.

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Clinical Resources
Position Statements
British Society of Gastroenterology and Association of Coloproctology of Great Britain and Ireland position on tranexamic acid in upper and lower gastrointestinal bleeding
clinical-resource/Tranexamic-acid-in-upper-lower-GI-bleeding
Following a concern raised to NHS England’s National Patient Safety Team regarding tranexamic acid use in gastrointestinal bleeding, and in light of the 2020 publication of the HALT-IT trial results,

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Guidance
BSG Nurses Association
Endoscopy
BSG, ACPGBI and AUGIS guidance on the scope of professional practice for clinical endoscopists
clinical-resource/Guidance-on-practice-for-clinical-endoscopists
This document focuses on the scope of professional practice for clinical endoscopists (previously known as non- medical endoscopists/nurse endoscopists).