David A. Johnson, MD


April 30, 2013

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In This Article

Hello. I'm Dr. David Johnson, Professor of Medicine and Chief of Gastroenterology at Eastern Virginia Medical School in Norfolk, Virginia.

In March 2013, the American College of Gastroenterology published new updated guidelines for the diagnosis and management of gastroesophageal reflux disease (GERD).[1] Drs. Katz, Gerson, and Vela put together an evidence-based review of very pragmatic recommendations using systematic reviews, meta-analyses, and clinical trial data. They used a grade system to prioritize the strength of the recommendation, as well as the weight of the evidence supporting that recommendation.

Rather than going through all 54 recommendations, I thought I would give you the Johnson Top 10 list. All of the recommendations that I'm going to make were also strongly recommended in the guidelines. However, the weight of the evidence for these range from strong to moderate. Nonetheless, these are all officially strong recommendations. Let's start the clock.