Welcome to the Guidelines Hub

ESCP aims to establish high quality international guidelines for the treatment of diseases within its scope, using the best available evidence. By providing this guidance, ESCP hopes to improve the outcomes such as recurrence of disease, complications, symptoms and patient satisfaction.

In 2017 ESCP established its Guidelines Committee, whose members have already collaborated in the production of several published guidelines.

The processes and methods are informed by internationally recognised criteria of quality of guidelines.

Below are projects that the Guidelines Committee and colleagues are currently working on and a committee update.

Please view our Guidance Disclaimer.

 

  1. Collaboration on EAES/SAGES Recommendations regarding COVID-19
  2. Joint European clinical practice guideline for faecal incontinence
  3. Guideline on the diagnosis and treatment of cryptoglandular perianal fistula
  4. Social media guideline
  5. Gene and gender guidelines for Lynch syndrome (GGGLS)
  6. Protocol: evidence and consensus follow-up after primary colorectal cancer
  7. Protocol for the development of a core outcome set (COS) for haemorrhoidal disease
  8. Guideline regarding treatment of haemorrhoids
  9. Guideline on the use of mesh in the pelvis
  10. Guidance on transanal total mesorectal excision (TaTME)
  11. Diverticulitis guideline

Collaboration on EAES/SAGES Recommendations regarding COVID-19

ESCP's Guideline Committee has chosen not to write our own COVID-19 recommendations but to join forces and to collaborate with EAES and SAGES, and we endorse their joint recommendations regarding surgical response to the COVID-19 crisis.

The Guideline Committee aim to continuously monitor and expand on these recommendations so that they are up-to-date with the latest developments and can serve as practical advice.

View EAES/SAGES Recommendations and our updates here >


Joint European clinical practice guideline for faecal incontinence

A joint project between UEG, ESCP, ESNM and ESPCG.

This project is financially supported by the UEG Activity Grant programme.

The first meeting for this initiative was on 21 October during UEG week.


Guideline on the diagnosis and treatment of cryptoglandular perianal fistula

Led by Kevin Gottgens, Lillian Reza, Phil Tozer and David Zimmerman, this Guideline Development Group is in the process of being formed.

The Executive Group are looking for 17-20 highly motivated people. They will select the group from all applications, based on several characteristics and geographic-, age-, and gender diversity. Applications closed on 15 February 2020. The Executive Group aim to let applicants know whether or not they have been accepted within two weeks of the closing date.

The GRADE methodology will be used to develop the guideline - please watch this explanation before applying.

The current aim is to finish the guideline by December 2020.


Social media guideline

Steering committee: Rosa Jimenez and Luis Sánchez-Guillén (Chairs), Richard Brady, Julio Mayol, Gianluca Pellino and Des Winter.

Members: Ruth Blanco Colino, Gaetano Gallo, Francesco Pata, Jonathan Segal, James Ashcroft, Gonzalo P Martín-Martín, Hector Guadalajara, Jana Dziakova, Alaa El-Hussuna, Mariyah Anwer.

The guideline will include European data protection regulations and how they affect us, and how we can use social media technology in our daily practice. It will consist of three sections:

  1. Social media resources in colorectal surgery
  2. Relationship between professionals
  3. Privacy, patient information protection and patient involvement

Recommendations will be made. Each of these areas will be led by one senior and one Y-ESCP member.

The developmental process was sent to Jos Kleijnen and the steering committee are currently working on his suggestions.


Gene and gender guidelines for Lynch syndrome (GGGLS)

The steering committee includes: Andy Latchford, Ashish Sinha, Gabriela Möslein, Gareth Evans, Pal Moller and Toni Seppälä.

This is a collaborative project with the European Hereditary Tumour Group (EHTG).

The Delphi consensus process started in Nice 2018 is now complete after four rounds. A requirement to solve formal problems was identified with the support of Jos Kleijnen in the second Delphi round. Further work included a dedicated revision and amendment of generated evidence and professional guidance which was then elaborated, and reviewed by an interdisciplinary faculty of experts in the final round.

The guideline is being finalised by Toni Seppälä, Andy Latchford and Gabriela Möslein, and they plan to submit it to Colorectal Disease. Simultaneous publication on the ESCP and EHTG websites is also intended.

This first stage focussed on the relevance of Lynch syndrome, and surgical, gastroenterological and gynecological clinical management. The exciting fields of immunology, pathology and targeted therapy, among others, have not yet been addressed and are being planned, along with on-going updates to the guideline in this fast-evolving field.


Protocol: evidence and consensus follow-up after primary colorectal cancer - an analysis of existing guidelines in Europe

The steering committee includes: Ida Jakobsen, Pieter Tanis, Søren Laurberg and Vivian Bastiaenen.

Relevant analyses have been performed for guideline and a draft manuscript has been circulated within the group for initial consideration.


Protocol for the development of a core outcome set (COS) for haemorrhoidal disease: an international Delphi study

The steering committee includes: RR van Tol, J Melenhorst, CD Dirksen, LPS Stassen and SO Breukink.

This group have developed a COS which can be used in future studies evaluating treatment for haemorrhoidal disease. Use of this COS will improve the quality and uniformity of future research and enhance evidence synthesis. The ‘European Society of Coloproctology (ESCP) Core Outcome Set (COS) for Haemorrhoidal disease: An international Delphi study’ was published January 2019 in Colorectal Disease. You can download the COS here:

ESCP Core Outcome Set for Haemorrhoidal Disease (PDF)


Guideline regarding treatment of haemorrhoids

The steering committee includes: RR van Tol, SZ Kuiper, AJM Watson, J Jongen, DF Altomare, N Qvist, T Higuero, J Muris, SO Breukink, J Kleijnen.

The guideline has now been produced and reviewed, and has been submitted to Colorectal Disease. It is available to download here:

ESCP Guideline for Haemorrhoidal Disease (PDF)

Related information:


Guideline on the use of mesh in the pelvis

The steering committee includes: Y Maeda, PA Lehur, L Lundby and C Vaizey.

Within this project there are four sub-groups working on different themes of the guidance:

  1. Use of mesh in relation to perianal reconstruction - Leaders: Professor E Espin and G van Ramshorst, G Norcic
  2. Use of mesh for full-thickness rectal prolapse - Leaders: Professor R O’Connell and T Rautio
  3. Use of mesh for obstructive defaecation - Leaders: Professor PA Lehur, K. Gorissen, M. Kim, I. Negoi, B. van Geluwe
  4. Use of mesh for all the other indications (fistula/sphincter repair) - Leaders: Dr Lundby, D Pares, C Vaizey, A Warwick

The four groups use GRADE methodology to collate the evidence.

The steering committee hope to publish a draft for consultation August 2020.


Guidance on transanal total mesorectal excision (TaTME)

This group, led by Danilo Miscovic and Roel Hompes, have worked on guidance statements based on three themes:

  1. Indications - Chair: Mark Katory
  2. Training and Implementation - Chair: Juriaann Tyunman
  3. Quality - Chair: Felix Aigner

The group decided not to pursue guidance on technique at this stage but will follow this up through research.

The guidance has been published in Colorectal Disease: 

Next a new working group will be established to work on the future amendments and coordination of European research in the area of TaTME.


Diverticulitis guideline

The steering committee includes: Eva Angenete, Johannes Schultz and Willem Bemelman.

This group has devised six initial themes and is in the process of the initial literature review. These themes include:

  1. Aetiology, Epidemiology and follow-up (Wolfgang Kruis)
  2. Imaging, indication and classification (Fredric Ris)
  3. Non-surgical management and dietary recommendation (Marja Boermeester)
  4. Emergency Surgery for diverticulitis ( Eva Angenete)
  5. Elective surgery for Diverticulitis (Johannes Schultz)
  6. Technical Considerations (Willem Bemelman)

This guidance has been published in Colorectal Disease:


Committee Update

ESCP’s Guidelines Committee had a busy but productive time in Vienna.

They convened for a face-to-face meeting prior to the Annual Meeting began, to take stock of activities to date and discuss future guidelines, a discussion around legal framework may be required to protect our guidances and a new assistant chair was appointed.

For the first time, we held an educational session titled 'How to develop guidelines'. We had a talk on future guidelines by the current chairman Miss Carolynne Vaizey, followed by a talk on overview of guideline development by Miss Yasuko Maeda. The nitty-gritty of actual development were expertly explained by Professor Jos Kleijnen and two young members of the committee, Dr Schultz and Dr van Tol, gave accounts of their experiences developing diverticulitis and haemorrhoids guideline respectively.

The session was well attended and we were delighted to hear from many with inquiries about future opportunities.

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