Standards & Guidelines Initiatives in Association with UEG

The following standards & guidelines initiatives coordinated by UEG Member Societies are supported by UEG.

Call for working group members: Projects funded in 2019 are currently looking for working group members. If you want to participate in a project, please get in touch with the lead coordinator of the respective project!

AGREE II Extension for Surgical Guidelines: UEG and EAES consensus

Brief description of the initiative: The aims of this project are to assess the quality of clinical practice guidelines (CPGs) in surgery and to propose a framework for improvement and to develop an AGREE II instrument extension that is specific for surgery through an evidence-informed and consensus-based approach.

Project type: Guideline development

Participating UEG Member Societies: EAES

Lead Coordinator: Stavros Antoniou


Current application of the European evidence-based guidelines on pancreatic cystic tumours

Brief description of the initiative: A survey and retrospective analysis will be conducted to assess the real application of the European evidence-based guidelines on pancreatic cystic neoplasms among European countries. To help disseminate the existing guidelines about pancreatic cystic neoplasms management a mobile app will be developed, helping clinicians, especially from low volume centres taking evidence-based decisions about their patients.

Project type: Guideline dissemination

Participating UEG Member Societies: EDS, Romania, ESGAR, Italy (SIGE)

Lead Coordinator: Giovanni Marchegiani


European Guideline on faecal incontinence – UEG and ESCP/ESNM/ESPCG guideline

Brief description of the initiative: The guidelines will provide guidance on the most effective treatment and management of patients with FI. By providing this information, we specifically aim to improve treatment outcomes and patient satisfaction. The development of the guideline will be based on internationally recognized guideline development methodology. These include criteria of quality, as detailed in the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, primary methodological research and evaluation undertaken by the guideline development group (GDG).
Project type: Guideline development

Participating UEG Member Societies: ESCP, ESPCG, ESNM

Lead Coordinator: Daniel Keszthelyi


European Guideline on Functional Chronic Diarrhoea – UEG and ESNM, SIGE, RSGH and TSG Recommendations

Brief description of the initiative: The group will propose statements on the prevalence, symptom presentation, diagnosis, pathophysiology, complications and management of functional chronic diarrhoea. For each topic, a systematic literature survey will be available on an online access point. A Delphi consensus process (80% agreement threshold) by GRADE (Grading of Recommendations Assessment, Development and Evaluation) will be used to categorize the quality of evidence and strength of recommendations.

Project type: Guideline development

Participating UEG Member Societies: ESNM, Italy (SIGE), Romania, Turkey

Lead Coordinator: Edoardo Savarino


European Guideline on indication, performance and clinical impact of H2CH4- and 13C-breath test in adult and paediatric patients: consensus European guideline by EAGEN in collaboration with ESNM, ESPGHAN and several National Societies

Brief description of the initiative: A guideline will be developed to define the clinical indications, performance and rational interpretation of breath tests (H2, CH4 and 13C-breath tests) in adult and paediatric patients. The topic of the guideline will address, in large part functional bloating and diarrhoea. Specifically, it will provide recommendations for the use of breath tests in the evaluation of patients with these symptoms, which are a very common reason for attendance in gastroenterological and in general medical practices.

Project type: Guideline development

Participating UEG Member Societies: EAGEN, ESNM, ESPGHAN, Austria, Bulgaria, Germany, Hungary, Italy, Romania

Lead Coordinator: Heinz Hammer


European Guideline on obesity care in patients with GI and liver diseases – UEG and ESPEN guideline

Brief description of the initiative: The scope of this obesity guideline will cover the following topics: patients with IBD, patients with IBS, patients with chronic liver disease (mostly NAFLD and liver transplant) and will be developed according to the standard operating procedure for ESPEN guidelines.

Project type: Guideline development

Participating UEG Member Societies: ESPEN, ECCO, ESNM, EASL

Lead Coordinator: Cristina Cuerda


Translating FMT applications related to Clostridium difficile infection into the local clinical practice

Brief description of the initiative: The aim is to implement FMT for refractory and recurrent CDI in Romania and to create national guidelines in this regard in Romania and Hungary, following the recommendations of the European Consensus on FMT in clinical practice, taking into account local conditions and adapting the currently available guideline of the British Society of Gastroenterology and Healthcare Infection Society and European consensus conference on faecal microbiota transplantation in clinical practice. Moreover, following this initiative, stool banking can be consequently developed and the extension and adaptation of FMT for paediatric use in local conditions could also be established.

Project type: Guideline dissemination

Participating UEG Member Societies: Romania, Hungary, EHMSG, UK

Lead Coordinator: Georgiana Gilca

Achalasia: Diagnosis, treatment and follow-up

Brief description of the initiative: This multidisciplinary guideline will aim to provide an evidence-based framework with recommendations on the diagnosis, treatment and follow-up of adult achalasia patients. This guideline is intended for clinicians involved in their management, including gastroenterologists, endoscopists, radiologists, gastrointestinal surgeons, dietitians and primary care practitioners.

Project type: Guideline development

Participating UEG Member Societies: ESNM, EAES, ESGAR

Lead Coordinator: Arjan Bredenoord


Clinical guidelines for the management of chronic mesenteric ischemia

Brief description of the initiative: With the development of a multidisciplinary guideline on CMI we aim to provide a compressive overview and repository of the current evidence and agreement on pertinent issues pertaining the diagnosis and treatment of CMI to guide physicians working in the multidisciplinary field of gastrointestinal diseases in the management of their patients and improve treatment outcome.

Project type: Guideline development

Participating UEG Member Societies: EAGEN, ESGAR, Netherlands Association of Hepatogastroenterologists (NVMDL), Hellenic Society of Gastroenterology

Lead Coordinator: Luke Terlouw 


European GI motility hub

Brief description of the initiative: The European GI Motility Hub initiative proposes an innovative on-line platform to disseminate guidelines and provide practical training that will help minimize disparities between centres and health care systems and, it is hoped, add significantly to the welfare of GI patients throughout Europe.

Project type: Guideline dissemination

Participating UEG Member Societies: ESCP, ESPGHAN, Turkish Society of Gastroenterology, German Society of Gastroenterology (DGVS)

Lead Coordinator: Henriette Heinrich


European guideline on the management of microscopic colitis

Brief description of the initiative: In order to harmonize and standardize the clinical management of MC across Europe, a pan-European Clinical Practice Guideline on MC is essential. Topics: MC concept and epidemiology, aetiology and pathogenesis, clinical manifestation, diagnosis, histopathology, treatment.

Project type: Guideline development

Participating UEG Member Societies: German Society of Gastroenterology (DGVS), Swedish Society of Gastroenterology, Lithuanian Society of Gastroenterology, Hungarian Society of Gastroenterology, Danish Society of Gastroenterology and Hepatology, Netherlands Association of Hepatogastroenterologists (NVMDL), Spanish Society of Gastroenterology (AEG), ESP

Lead Coordinator: Stephan Miehlke


Functional dyspepsia & gastroparesis

Brief description of the initiative: Development of guidelines following a 3-step approach: (1) Collection and review of FD&GP guidelines available in Europe and beyond, (2) Conductance of a (PICA-based) consensus process within the working group for a transnational FD&GP clinical guideline and (3) Initiation of national consensus and agreement processes for approval of the final guideline.

Project type: Guideline development

Participating UEG Member Society: ESNM

Lead Coordinator: Paul Enck


IgG4-related GI diseases

Brief description of the initiative: IgG4-related diseases represents a syndrome of a wide variety of diseases. We will follow the GRADE system, successfully applied to the IAP/APA guidelines on acute pancreatitis, the UEG/HaPanEU guidelines on chronic pancreatitis, and most recently the European guidelines on pancreatic cystic neoplasms.

Project type: Guideline development

Participating UEG Member Societies: Swedish Society of Gastroenterology, Ukrainian Gastroenterological Association, Danish Society of Gastroenterology and Hepatology, Romanian Society of Gastroenterology and Hepatology, German Society of Gastroenterology (DGVS), Turkish Society of Gastroenterology, Netherlands Association of Hepatogastroenterologists (NVMDL), British Society of Gastroenterology (BSG), ESGAR, EPC, Italian Society of Gastroenterology (SIGE), French Society of Gastroenterology (SNFGE)

Lead Coordinator: Matthias Löhr


Spreading knowledge on malnutrition across Europe

Brief description of the initiative: The purpose of the initiative is to promote and disseminate existing clinical practice guidelines on malnutrition, especially in GI diseases (malnutrition in general, in IBD, in visceral surgery, in chronic intestinal failure, in liver disease, in oncology).

Project type: Guideline dissemination

Participating UEG Member Societies: ESPEN, Austrian Society of Gastroenterology and Hepatology (ÖGGH), Belgian Society of Gastroenterology (SRBGE), Croatian Society of Gastroenterology, German Society of Gastroenterology (DGVS), Macedonian Society of Gastroenterology, Gastrohepatology Association of Montenegro (GAM), Association of Serbian Gastroenterologists (ASG)

Lead Coordinator: Stephan Bischoff


Stool banking to facilitate safe and cost effective Fecal Microbiota Transplantation in Europe

Brief description of the initiative: To develop a European stool bank model based consensus report and qualified experience, creating a standard for implementation of FMT in Europe.

Project type: Guideline dissemination

Participating UEG Member Societies: EHMSG, Nederlandse Vereniging voor Gastro-Enterologie (NVGE), Ukrainian Gastroenterological Association

Lead Coordinator: Josbert Keller

Adapting European guidelines on helicobacter pylori management and faecal microbiota transplantation to use in Armenia as a model for low-resource countries

Brief description of the initiative: To adapt European guidelines on H. pylori infection management and faecal microbiota transplantation for use in Armenia as a model of low-resource country and disseminate the adapted guidelines through conducting a conference and publishing its proceedings.

Project type: Guideline dissemination

Participating UEG Member Societies: EHMSG, Armenian Association of Gastroenterology, Italian Society of Gastroenterology (SIGE), French National Society of Gastroenterology (SNFGE)

Lead Coordinator: Francis Megraud


Implementation of guidelines of autoimmune and cholestatic liver disease in the Baltic States

Brief description of the initiative: The main goal of this project is to promote, disseminate and implement knowledge on AIH and cholestatic liver diseases clinical practice guidelines across the Baltic States with Latvia as a starting point.

Project type: Guideline dissemination

Participating UEG Member Societies: Dutch Society of Gastroenterology (NVGE), Latvian Society of Gastroenterology

Lead Coordinator: Simon Pape


Upper GI disorders: Guidelines & clinical practice in Central & Eastern Europe

Brief description of the initiative: Organisation of a guideline meeting “Upper GI Disorders: Guidelines & clinical practice in Central & Eastern Europe” in correlation with the annual congress of the Hungarian Society of Gastroenterology. The meeting will be complemented by benchmarking via a multilingual web-based questionnaire using online project management tools. The multilingual website will help to share diagnostic guidelines, online consultations, teleconferences. A survey will evaluate current implementation of guidelines in clinical practice.

Project type: Guideline dissemination

Participating UEG Member Societies: EAGEN, EHMSG, Hungarian Society of Gastroenterology, Slovenian Society of Gastroenterology, Serbian Society of Gastroenterology, Romanian Society of Gastroenterology