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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| Veröffentlicht in: | The American journal of gastroenterology Jg. 117; H. 1; S. 27 - 56 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
Wolters Kluwer
01.01.2022
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins |
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| ISSN: | 0002-9270, 1572-0241, 1572-0241 |
| Online-Zugang: | Volltext |
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| Abstract | 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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| AbstractList | 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. 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.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. |
| Author | Greer, Katarina B. Spechler, Stuart Jon Katz, Philip O. Dunbar, Kerry B. Schnoll-Sussman, Felice H. Yadlapati, Rena |
| AuthorAffiliation | Division of Gastroenterology, Department of Medicine, University of California SanDiego, La Jolla, California, USA Department of Medicine, Case Western Reserve University School of Medicine, Cleveland Louis Stokes VA Medical Center, Cleveland, Ohio, USA Department of Medicine, Division of Gastroenterology and Hepatology, Jay Monahan Center for Gastrointestinal Health, Weill Cornell Medicine, New York, New York, USA |
| AuthorAffiliation_xml | – name: Division of Gastroenterology, Department of Medicine, University of California SanDiego, La Jolla, California, USA – name: Department of Medicine, Division of Gastroenterology and Hepatology, Jay Monahan Center for Gastrointestinal Health, Weill Cornell Medicine, New York, New York, USA – name: Department of Medicine, Case Western Reserve University School of Medicine, Cleveland Louis Stokes VA Medical Center, Cleveland, Ohio, USA |
| Author_xml | – sequence: 1 givenname: Philip O. surname: Katz fullname: Katz, Philip O. organization: Department of Medicine, Division of Gastroenterology and Hepatology, Jay Monahan Center for Gastrointestinal Health, Weill Cornell Medicine, New York, New York, USA – sequence: 2 givenname: Kerry B. surname: Dunbar fullname: Dunbar, Kerry B. organization: Department of Medicine, University of Texas Southwestern Medical Center, Dallas VA Medical Center, Dallas, Texas, USA – sequence: 3 givenname: Felice H. surname: Schnoll-Sussman fullname: Schnoll-Sussman, Felice H. organization: Department of Medicine, Division of Gastroenterology and Hepatology, Jay Monahan Center for Gastrointestinal Health, Weill Cornell Medicine, New York, New York, USA – sequence: 4 givenname: Katarina B. surname: Greer fullname: Greer, Katarina B. organization: Department of Medicine, Case Western Reserve University School of Medicine, Cleveland Louis Stokes VA Medical Center, Cleveland, Ohio, USA – sequence: 5 givenname: Rena surname: Yadlapati fullname: Yadlapati, Rena organization: Division of Gastroenterology, Department of Medicine, University of California SanDiego, La Jolla, California, USA – sequence: 6 givenname: Stuart Jon surname: Spechler fullname: Spechler, Stuart Jon organization: Division of Gastroenterology, Baylor University Medical Center at Dallas, Dallas, Texas, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34807007$$D View this record in MEDLINE/PubMed |
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285 McCarty (R232-20250804) 2018; 50 Chan (R177-20250804) 2011; 25 Kahrilas (R82-20250804) 2016; 150 Gaddam (R171-20250804) 2010; 32 Cardoso (R242-20250804) 2015; 2 Cheungpasit 36002917 - Am J Gastroenterol. 2022 Dec 1;117(12):2083 |
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| SubjectTerms | 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 |
| Title | ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease |
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