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.
Medscape Gastroenterology © 2013 WebMD, LLC
Cite this: Top 10 GERD Guidelines - Medscape - Apr 30, 2013.
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COMMENTARY
Top 10 GERD Guidelines
David A. Johnson, MD
DisclosuresApril 30, 2013
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.
Medscape Gastroenterology © 2013 WebMD, LLC
Cite this: Top 10 GERD Guidelines - Medscape - Apr 30, 2013.
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Authors and Disclosures
Authors and Disclosures
Author
David A. Johnson, MD
Professor of Medicine, Chief of Gastroenterology, Eastern Virginia Medical School, Norfolk, Virginia
Disclosure: David A. Johnson, MD, has disclosed the following relevant financial relationships:
Served as a director, officer, partner, employee, advisor, consultant, or trustee for: Takeda Pharmaceuticals North America, Inc.; CRH Medical; Merck & Co, Inc.; AstraZeneca Pharmaceuticals, LP; WebMD Health; Journal Watch Gastroenterology
Served as a speaker or a member of a speakers bureau for: Takeda Pharmaceuticals North America
Received research grant from: AstraZeneca Pharmaceuticals LP; Takeda Pharmaceuticals North America, Inc.
Received income in an amount equal to or greater than $250 from: Takeda Pharmaceuticals North America, Inc.; AstraZeneca Pharmaceuticals LP; Novartis Pharmaceuticals Corporation; Merck & Co., Inc.; CRH Medical; WebMD Health; Journal Watch Gastroenterology