The Saudi Gastroenterology Association consensus on the clinical care pathway for the diagnosis and treatment of GERD.

IF 1.9 4区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Saudi Journal of Gastroenterology Pub Date : 2024-05-30 DOI:10.4103/sjg.sjg_82_24

Mohammed A Alzahrani, Abdullah M Alqaraawi, Saeed R Alzubide, Ehab Abufarhaneh, Saad S Alkhowaiter, Mohammed Alsulaimi, Resheed Alkhiari, Ahmed S AlMalki, Abdulrahman A Alfadda, Emad S Aljahdli, Fahad I Alsohaibani, Abid H AlLehibi, Majid A Almadi

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引用次数: 0

Abstract

Abstract: Gastroesophageal reflux disease (GERD) is one of the most common problems encountered in outpatient general medicine and gastroenterology clinics. GERD may present with classic esophageal symptoms, extraesophageal symptoms, or mixed symptoms. The diagnosis and treatment of GERD are challenging due to the variety of symptoms and multifactorial pathophysiology. Since there is no consensus on the diagnosis and treatment of GERD in Saudi Arabia, the Saudi Gastroenterology Association established an expert group to formulate a consensus on the clinical care pathway for the diagnosis and treatment of GERD to update health-care providers in Saudi Arabia. The expert group reviewed the literature including recently published international guidelines, clinical trials, and expert opinion and conducted virtual and in-person meetings. A total of 22 statements on the definition, diagnosis, and treatment of GERD were formulated, and three algorithms for the clinical care of GERD were developed with a detailed description for each step. The expert group endorsed the new definition of GERD, the practical principles of interpretation of the diagnostic GERD evaluation, and the practical guidance for GERD treatment including medical, surgical, and endoscopic therapy. The expert group recommends further studies to investigate local data on the diagnosis and treatment of GERD.

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沙特胃肠病学协会就诊断和治疗胃食管反流病的临床护理路径达成共识。

摘要：胃食管反流病（GERD）是普通内科和消化内科门诊中最常见的问题之一。胃食管反流病可能表现为典型的食管症状、食管外症状或混合症状。由于胃食管反流病的症状多样，病理生理学因素众多，因此诊断和治疗胃食管反流病具有挑战性。由于沙特阿拉伯尚未就胃食管反流病的诊断和治疗达成共识，因此沙特胃肠病学协会成立了一个专家组，就胃食管反流病的诊断和治疗的临床护理路径达成共识，以更新沙特阿拉伯的医疗服务提供者。专家组查阅了包括最近出版的国际指南、临床试验和专家意见在内的文献，并举行了虚拟会议和面对面会议。共制定了 22 项关于胃食管反流病定义、诊断和治疗的声明，并为胃食管反流病的临床治疗制定了三种算法，对每个步骤进行了详细说明。专家组赞同胃食管反流病的新定义、胃食管反流病诊断评估的实用解释原则以及胃食管反流病治疗的实用指南，包括药物、手术和内镜治疗。专家组建议进一步开展研究，调查胃食管反流病诊断和治疗的本地数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Saudi Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

4.40

自引率

3.70%

发文量

审稿时长

28 weeks

期刊介绍： The Saudi Journal of Gastroenterology (SJG) is an open access peer-reviewed publication. Authors are invited to submit articles in the field of gastroenterology, hepatology and nutrition, with a wide spectrum of coverage including basic science, epidemiology, diagnostics, therapeutics, public health, and standards of health care in relation to the concerned specialty. Review articles are usually by invitation. However review articles of current interest and a high standard of scientific value could also be considered for publication.