The role of endoscopy in the management of GERD

ASGE Standards of Practice Committee

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

We recommend that uncomplicated GERD be diagnosed on the basis of typical symptoms without the use of diagnostic testing, including EGD. We recommend EGD for patients who have symptoms suggesting complicated GERD or alarm symptoms. We recommend that EGD not be routinely performed solely for the assessment of extraesophageal GERD symptoms. We recommend that endoscopic findings of reflux esophagitis be classified according to an accepted grading scale or described in detail. We suggest that repeat EGD be performed in patients with severe erosive esophagitis after at least an 8-week course of PPI therapy to exclude underlying BE or dysplasia. We recommend against obtaining tissue samples from endoscopically normal tissue to diagnose GERD or exclude BE in adults. We suggest that endoscopy be considered in patients with multiple risk factors for Barrett's esophagus. We recommend that tissue samples be obtained to confirm endoscopically suspected Barrett's esophagus. We suggest that endoscopic antireflux therapy be considered for selected patients with uncomplicated GERD after careful discussion with the patient regarding potential adverse effects, benefits, and other available therapeutic options.

Original languageEnglish
Pages (from-to)1305-1310
Number of pages6
JournalGastrointestinal Endoscopy
Volume81
Issue number6
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Fingerprint

Gastroesophageal Reflux
Endoscopy
Barrett Esophagus
Peptic Esophagitis
Esophagitis
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

The role of endoscopy in the management of GERD. / ASGE Standards of Practice Committee.

In: Gastrointestinal Endoscopy, Vol. 81, No. 6, 01.06.2015, p. 1305-1310.

Research output: Contribution to journalArticle

ASGE Standards of Practice Committee 2015, 'The role of endoscopy in the management of GERD', Gastrointestinal Endoscopy, vol. 81, no. 6, pp. 1305-1310. https://doi.org/10.1016/j.gie.2015.02.021
ASGE Standards of Practice Committee. / The role of endoscopy in the management of GERD. In: Gastrointestinal Endoscopy. 2015 ; Vol. 81, No. 6. pp. 1305-1310.
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