ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) continues to be among the most common diseases seen by gastroenterologists, surgeons, and primary care physicians. Our understanding of the varied presentations of GERD, enhancements in diagnostic testing, and approach to patient management have evolved. During...

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Vydáno v:The American journal of gastroenterology Ročník 117; číslo 1; s. 27 - 56
Hlavní autoři: Katz, Philip O., Dunbar, Kerry B., Schnoll-Sussman, Felice H., Greer, Katarina B., Yadlapati, Rena, Spechler, Stuart Jon
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Wolters Kluwer 01.01.2022
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
Témata:
Asthma
Diagnostic tests
Disease
Disease Management
Endoscopy
Endoscopy, Digestive System - methods
Esophagus
Gastroenterology
Gastroesophageal reflux
Gastroesophageal Reflux - diagnosis
Gastroesophageal Reflux - therapy
Humans
Pain
Pathophysiology
Patients
Proton Pump Inhibitors - therapeutic use
Systematic review
ISSN:0002-9270, 1572-0241, 1572-0241
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Shrnutí:Gastroesophageal reflux disease (GERD) continues to be among the most common diseases seen by gastroenterologists, surgeons, and primary care physicians. Our understanding of the varied presentations of GERD, enhancements in diagnostic testing, and approach to patient management have evolved. During this time, scrutiny of proton pump inhibitors (PPIs) has increased considerably. Although PPIs remain the medical treatment of choice for GERD, multiple publications have raised questions about adverse events, raising doubts about the safety of long-term use and increasing concern about overprescribing of PPIs. New data regarding the potential for surgical and endoscopic interventions have emerged. In this new document, we provide updated, evidence-based recommendations and practical guidance for the evaluation and management of GERD, including pharmacologic, lifestyle, surgical, and endoscopic management. The Grading of Recommendations, Assessment, Development, and Evaluation system was used to evaluate the evidence and the strength of recommendations. Key concepts and suggestions that as of this writing do not have sufficient evidence to grade are also provided.
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ISSN:0002-9270
1572-0241
1572-0241
DOI:10.14309/ajg.0000000000001538