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Four E’s for extraesophageal GERD

Hear from Dr. Joan Chen and colleagues on new guidance for the management of extraesophageal GERD.
Flowchart for new GERD CPU
Flowchart for new GERD CPU

AGA’s new Clinical Practice Update provides guidance for the diagnosis and management of extraesophageal gastroesophageal reflux disease (GERD). The guidance and associated clinical decision support tool focus on conditions suspected to have potential relationships to acid reflux and provide best approaches to diagnosis, evaluation and therapy.

  • Educate

    Educate patients on the complexity of diagnosis and management of extraesophageal GERD to help set realistic expectations.

  • Early testing

    Early testing – consider reflux testing before a PPI trial for patients with only atypical symptoms or patients with typical symptoms who failed at least one initial PPI trial.

  • Engage

    Engage other specialists for a multidisciplinary approach.

  • Explore

    Explore alternative treatment methods to acid suppressive therapy. Surgical options should be reserved for patients with clear and objectively defined evidence of GERD.

Quick watch: Author Dr. Joan Chen shares her key takeaways.

AGA Clinical Guidance
Evidence-based recommendations.

AGA clinical guidance

Find the latest evidence-based recommendations for treating your patients.