Surgical and endoscopic management options for patients with GERD based on proton pump inhibitor symptom response: recommendations from an expert U.S. panel.

ABSTRACT:

Background and aims

The objective of this study was to examine expert opinion and agreement on the treatment of distinct GERD profiles from surgical and therapeutic endoscopy perspectives.

Methods

We used the RAND/University of California, Los Angeles Appropriateness Method over 6 months (July 2018 to January 2019) to assess the appropriateness of antireflux interventions among foregut surgeons and therapeutic gastroenterologists. Patients with primary atypical or extraesophageal symptoms were not considered. Patient scenarios were grouped according to their symptom response to proton pump inhibitor (PPI) therapy. The primary outcome was appropriateness of an intervention.

Results

Antireflux surgery with laparoscopic fundoplication (LF) and magnetic sphincter augmenta

SUBMITTER: Gawron AJ 

PROVIDER: S-EPMC7321870 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature