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沙特胃肠病学协会关于 GERD 诊断和治疗的临床护理路径的共识。

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

机构信息

Department of Medicine, College of Medicine, King Khalid University, Abha, Riyadh, Saudi Arabia.

Department of Medicine, Gastroenterology Division, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

出版信息

Saudi J Gastroenterol. 2024 Nov 1;30(6):353-368. doi: 10.4103/sjg.sjg_82_24. Epub 2024 May 30.

DOI:10.4103/sjg.sjg_82_24
PMID:38813746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11630483/
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.

摘要

胃食管反流病（GERD）是门诊普通内科和胃肠病学诊所最常见的问题之一。GERD 可能表现为典型的食管症状、食管外症状或混合症状。由于 GERD 的症状多种多样，发病机制也涉及多种因素，因此其诊断和治疗具有挑战性。由于沙特阿拉伯在 GERD 的诊断和治疗方面尚无共识，沙特阿拉伯胃肠病学协会成立了一个专家组，制定 GERD 诊断和治疗临床护理路径的共识，以更新沙特阿拉伯的医疗保健提供者。专家组审查了文献，包括最近发表的国际指南、临床试验和专家意见，并进行了虚拟和现场会议。共制定了 22 条关于 GERD 的定义、诊断和治疗的声明，并制定了 GERD 临床护理的三个算法，每个步骤都有详细描述。专家组认可 GERD 的新定义、诊断性 GERD 评估解释的实用原则以及 GERD 治疗的实用指导，包括药物、手术和内镜治疗。专家组建议进一步研究GERD 的诊断和治疗的本地数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/dfbb14eec0e6/SJG-30-353-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/84fc02be857b/SJG-30-353-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/89d9c00364fb/SJG-30-353-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/61538d3be128/SJG-30-353-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/dfbb14eec0e6/SJG-30-353-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/84fc02be857b/SJG-30-353-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/89d9c00364fb/SJG-30-353-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/61538d3be128/SJG-30-353-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df6c/11630483/dfbb14eec0e6/SJG-30-353-g004.jpg

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Latin American consensus on diagnosis of gastroesophageal reflux disease.拉丁美洲胃食管反流病诊断共识。
Neurogastroenterol Motil. 2024 Mar;36(3):e14735. doi: 10.1111/nmo.14735. Epub 2024 Jan 15.
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Clinical outcomes of anti-reflux mucosal ablation for gastroesophageal reflux disease: An international bi-institutional study.
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J Gastroenterol Hepatol. 2024 Jan;39(1):149-156. doi: 10.1111/jgh.16370. Epub 2023 Oct 3.
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Updates to the modern diagnosis of GERD: Lyon consensus 2.0.胃食管反流病现代诊断的更新：里昂共识 2.0。
Gut. 2024 Jan 5;73(2):361-371. doi: 10.1136/gutjnl-2023-330616.
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