PMID- 32978931
OWN - NLM
STAT- MEDLINE
DCOM- 20200929
LR  - 20200929
IS  - 0004-5772 (Print)
IS  - 0004-5772 (Linking)
VI  - 68
IP  - 10
DP  - 2020 Oct
TI  - API-ISG Consensus Guidelines for Management of Gastrooesophageal Reflux Disease.
PG  - 69-80
AB  - Gastroesophageal reflux disease (GERD) is a common problem in the community. The 
      Indian Society of Gastroenterology and Association of Physicians of India have 
      developed this evidence-based practice guideline for management of GERD in 
      adults. A modified Delphi process was used to develop this consensus containing 
      43 statements, which were generated by electronic voting iteration as well as 
      face-to-face meeting, and review of the supporting literature primarily from 
      India. These statements include 4 on epidemiology, 9 on clinical presentation, 11 
      on investigations, 18 on treatment (including medical, endoscopic, and surgical 
      modalities), and one on complications of GERD. The statement was regarded as 
      accepted when the proportion of those who voted either to accept completely or 
      with minor reservation was 80% or higher. The prevalence of GERD in large 
      population-based studies in India is approximately 10% and is probably increasing 
      due to lifestyle changes and increase in obesity. The diagnosis of GERD in the 
      community should be mainly based on presence of classical symptoms like heartburn 
      and sour regurgitation, and empiric treatment with a proton pump inhibitor (PPI) 
      or H2 receptor antagonist should be given. All PPIs in equipotent doses are 
      similar in their efficacy in the management of symptoms. Patients in whom 
      symptoms do not respond adequately to PPI are regarded as having PPIrefractory 
      GERD. Invasive investigations should be limited to patients with alarm symptoms 
      and those with refractory GERD.
CI  - (c) Journal of the Association of Physicians of India 2011.
FAU - Bhatia, Shobna
AU  - Bhatia S
AD  - Professor, Department of Gastroenterology, H.N. Reliance Hospital, Mumbai, 
      Maharashtra.
FAU - Pareek, K K
AU  - Pareek KK
AD  - Senior Consultant Medicine, Director, S.N. Pareek Memorial Hospital, Kota, 
      Rajasthan.
FAU - Kumar, Ajay
AU  - Kumar A
AD  - Chairman and HOD, BLK Institute of Liver and Digestive Disease, New Delhi.
FAU - Upadhyay, Rajesh
AU  - Upadhyay R
AD  - Senior Director and HOD, Dept. of Gastroenterology and Hepatology, Max 
      Superspeciality Hospital, New Delhi.
FAU - Tiwaskar, Mangesh
AU  - Tiwaskar M
AD  - Senior Consultant Physician and Diabetologist, Karuna Hospital and Asian Heart 
      Institute, Mumbai, Maharashtra.
FAU - Jain, Abhinav
AU  - Jain A
AD  - Consultant Gastroenterologist, CIMS Hospital, Ahmedabad, Gujarat.
FAU - Gupta, Pritam
AU  - Gupta P
AD  - Senior consultant Medicine, Fortis Hospital, New Delhi.
FAU - Nadkar, Milind Y
AU  - Nadkar MY
AD  - Professor and Head, Department of Medicine, Seth GS Medical College and KEM 
      Hospital, Mumbai, Maharashtra.
FAU - Prakash, Anupam
AU  - Prakash A
AD  - Professor, Department of Medicine, Lady Hardinge Medical College, New Delhi.
FAU - Dutta, Amit
AU  - Dutta A
AD  - Professor, Department of Gastroenterology, Christian Medical College, Vellore, 
      Taml Nadu.
FAU - Chavan, Radhika
AU  - Chavan R
AD  - Consultant Gastroenterologist, Asian Institute of Gastroenterology, Hyderabad, 
      Telangana.
FAU - Kedia, Saurabh
AU  - Kedia S
AD  - Assistant Professor, Department of Gastroenterology and Human Nutrition, All 
      India Institute of Medical Sciences, New Delhi.
FAU - Ahuja, Vineet
AU  - Ahuja V
AD  - Professor, Department of Gastroenterology and Human Nutrition, All India 
      Institute of Medical Sciences, New Delhi.
FAU - Ghoshal, Uday
AU  - Ghoshal U
AD  - Professor, Department of Gastroenterology, Sanjay Gandhi Post Graduate Institute 
      of Medical Sciences, Lucknow, Uttar Pradesh.
FAU - Agarwal, Ashish
AU  - Agarwal A
AD  - Fellow in Advanced Endoscopy, Department of Gastroenterology and Human Nutrition, 
      All India Institute of Medical Sciences, New Delhi.
FAU - Makharia, Govind
AU  - Makharia G
AD  - Professor, Department of Gastroenterology and Human Nutrition, All India 
      Institute of Medical Sciences, New Delhi.
LA  - eng
PT  - Journal Article
PL  - India
TA  - J Assoc Physicians India
JT  - The Journal of the Association of Physicians of India
JID - 7505585
RN  - 0 (Proton Pump Inhibitors)
SB  - IM
MH  - Adult
MH  - Consensus
MH  - *Gastroenterology
MH  - Gastroesophageal Reflux/*diagnosis/*epidemiology/*therapy
MH  - Humans
MH  - India/epidemiology
MH  - Proton Pump Inhibitors/therapeutic use
EDAT- 2020/09/27 06:00
MHDA- 2020/09/30 06:00
CRDT- 2020/09/26 08:11
PHST- 2020/09/26 08:11 [entrez]
PHST- 2020/09/27 06:00 [pubmed]
PHST- 2020/09/30 06:00 [medline]
PST - ppublish
SO  - J Assoc Physicians India. 2020 Oct;68(10):69-80.