Guideline Library - CPGs and Position Papers

CAG is always recruiting for members interested to undertake training to become a GRADE (Grading of Recommendations Assessment, Development and Evaluation) and guideline methodologist for the development of CAG Clinical Practice Guidelines. Learn more about this opportunity here.


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.


CPGs and Consensus Reports are developed to be of assistance to practicing 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.


CategoryYearTitlePublication TypeDocument
Endoscopy1997Endoscopic Retrograde Cholangiopancreatography Credentialling 1997Guideline View/Download
Endoscopy1997Informed Consent for GI endoscopyGuideline View/Download
Endoscopy2006Colonoscopy PreparationGuideline View/Download
Endoscopy2007Endoscopic PriveledgesGuideline View/Download
Endoscopy2008Colonoscopy CredentiallingGuideline View/Download
Lower GI2008Endoscopic Retrograde Cholangiopancreatography Credentialling 2008Guideline View/Download
Endoscopy2008Esophagogastroduodenoscopy CredentiallingGuideline View/Download
Endoscopy2008Flexible Sigmoidoscopy CredentiallingGuideline View/Download
Endoscopy2008Propofol use during EndoscopyPosition Paper View/Download
Endoscopy2012Safety & Quality Indicators in EndoscopyGuideline View/Download
Endoscopy2017Capsule EndoscopyGuideline View/Download
Endoscopy2017The Impact of Simethicone on Endoscope ReprocessingPosition Paper View/Download
Endoscopy2017CAG Position Statement: The Impact of Simethicone on Endoscope ReprocessingPosition Paper View/Download
General2018Statement on Link Between PPI and Gastric CancerPosition Paper View/Download
General2018CannabisPosition Paper View/Download
Liver1998Evaluation of abnormal liver enzyme testsGuideline View/Download
Liver2000Liver BiopsyGuideline View/Download
Liver2012Management of chronic Hep BGuideline View/Download
Liver2015Management of chronic Hep C consensus updateGuideline View/Download
Lower GI2001Crohn's: Use of InfliximabGuideline View/Download
Lower GI2002Anti-TNF TherapyPosition Paper View/Download
Lower GI2004Colon Cancer Screening, 2004Guideline View/Download
Lower GI2004Crohn's: Use of InfliximabGuideline View/Download
Lower GI2005CDAD and PPI TherapyPosition Paper View/Download
Lower GI2009Crohn's: Use of tumour necrosis factorGuideline View/Download
Lower GI2009FDA Safety Alert: OSPPosition Paper View/Download
Lower GI2010Colon Cancer Screening, 2010Guideline View/Download
Lower GI2012IBD: UC in severe hosptialized patientsGuideline View/Download
Lower GI2013IBD: SEBSPosition Paper View/Download
Lower GI2014IBD: Venous ThromboembolismGuideline View/Download
Lower GI2014IBD: ThiopurinesPosition Paper View/Download
Lower GI2014Fecal Microbiota Transplant TherapyPosition Paper View/Download
Lower GI2015IBD: DysplasiaGuideline View/Download
Lower GI2015IBD: UC in mild-severe outpatientsGuideline View/Download
Lower GI2016IBD: PregnancyGuideline View/Download
Lower GI2018Fistulizing Crohn's DiseaseGuideline View/Download
Lower GI2018Screening for Colorectal CancerGuideline View/Download
Lower GI2019Management of Irritable Bowel Syndrome (IBS)Guideline View/Download
Non-Medical2000Critical approach to CPGsGuideline View/Download
Non-Medical2002Industry InteractionPosition Paper View/Download
Non-Medical2006Wait TimesGuideline View/Download
Upper GI1998Dysphagia, 1998Guideline View/Download
Upper GI1998GERD, 1998Guideline View/Download
Upper GI1998H. pylori (adults), 1998Guideline View/Download
Upper GI1998Non-Cardiac Chest PainGuideline View/Download
Upper GI1999Antibiotic Prophylaxis for EndoscopyGuideline View/Download
Upper GI1999H. pylori (adults), 1999Guideline View/Download
Upper GI1999H. pylori (peds)Guideline View/Download
Upper GI2003Non-Variceal Upper GI Bleeding (adults) 2003Guideline View/Download
Upper GI2004H. pylori (adults), 2004Guideline View/Download
Upper GI2004Non-Variceal Upper GI Bleeding algorithm (adults)Guideline View/Download
Upper GI2004Non-Variceal Upper GI Bleeding (peds)Position Paper View/Download
Upper GI2006Community-acquired pneumonia and acid-suppressive drugsPosition Paper View/Download
Upper GI2008NSAIDsGuideline View/Download
Upper GI2008Hip Fracture and PPI Therapy, 2008Position Paper View/Download
Upper GI2010Non-Variceal Upper GI Bleeding (adults) 2010Guideline View/Download
Upper GI2010PPI and ClopidogrelPosition Paper View/Download
Upper GI2013Hip Fracture and PPI Therapy, 2013Position Paper View/Download
Upper GI2016H. pylori (adults), 2016Guideline View/Download
Upper GI2004GERD, 2004Guideline View/Download
Upper GI2017DyspepsiaGuideline View/Download
Upper GI2018Esophageal DysphagiaGuideline View/Download
Lower GI2019Luminal Crohn’s DiseaseGuideline View/Download
Lower GI2019Pediatric Crohn’s DiseaseGuideline View/Download
Endoscopy2020CAG Advise Regarding COVID-19 and EndoscopyPosition Paper View/Download
Upper GI2019Management of Nonvariceal Upper Gastrointestinal BleedingGuideline View/Download
Lower GI2019Management of Bile Acid DiarrheaGuideline View/Download