[How to implement the guidelines in clinical practice. The experiences in digestive endoscopy.]

The gap between the evidences produced by scientific research and its application in clinical practice has gained considerable interest in recent years. The guidelines are the best and most accessible elaboration of the evidence, but their implementation for good clinical practice requires complex and targeted interventions, often hampered by several cultural, organizational and structural barriers. The literature provides several intervention tools today to bridge this gap. Experiences conducted in digestive endoscopy (sometimes limited and sometimes more structured), show that attention to this issue is increased, but certainly this isn't satisfactory yet.