Abstract
“Medline” and “EMBASE” were searched to identify the evidence used in formulating these guidelines. The term “gastrointestinal hemorrhage” was used to identify general reviews, leading articles, meta-analyses, and randomised clinical trials. Not all of the recommendations have been subjected to clinical trial but represent what, in the view of the British Society of Gastroenterology (BSG) endoscopy committee, defines best clinical practice. Guidelines cannot replace clinical judgment in the management of any specific patient. Best management depends on close cooperation between medical and surgical gastroenterologists and “combined care” is essential in managing the critically ill bleeding patient.