GERD

Also known as: acid reflux · gastroesophageal reflux disease · heartburn

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United StatesACG/AGA/AASLD

Current

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

American College of Gastroenterology (ACG) · 2022

The ACG's guideline covers how GERD is evaluated and managed in adults, spanning lifestyle, drug, endoscopic and surgical options, using GRADE to grade each recommendation.

The guideline addresses when diagnostic testing is needed versus when an empiric acid-suppression trial is reasonable. source
It discusses proton pump inhibitors as the mainstay of medical therapy while reviewing concerns raised about long-term use. source

Verify against original ↗

EuropeUEG/EASL

No UEG/EASL guideline indexed for this condition yet.

Every entry is added by hand and cited to the issuing society, so a gap here means we have not verified one — not that none exists. Know the right one? Tell us.

US vs EU key differences

No curated US/EU comparison yet for this disease.

What changed recently

US2013 → 20222022-01-01
The 2022 ACG guideline kept the 8-week empiric PPI trial but added a strong recommendation to dose PPIs 30-60 minutes before a meal and a conditional endorsement of on-demand or intermittent PPI therapy in non-erosive reflux disease. It also substantially rewrote guidance on extraesophageal symptoms, refractory GERD, and antireflux surgical and endoscopic options.
source ↗curation confidence 90%

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