검색 상세

2020 Seoul Consensus on the Diagnosis and Management of Gastroesophageal Reflux Disease

  • 주제(키워드) Key Diagnosis , Gastroesophageal reflux disease , Guideline , Meta-analysis , Treatment
  • 주제(기타) Gastroenterology & Hepatology; Clinical Neurology
  • 설명문(일반) [Jung, Hye-Kyung; Tae, Chung Hyun] Ewha Womans Univ, Coll Med, Dept Internal Med, Seoul, South Korea; [Song, Kyung Ho] CHA Univ, CHA Ilsan Med Ctr, Sch Med, Div Gastroenterol,Dept Internal Med, Ilsan, Jeollabuk Do, South Korea; [Kang, Seung Joo] Seoul Natl Univ Hosp, Gangnam Ctr, Dept Internal Med, Seoul, South Korea; [Park, Jong Kyu; Gong, Eun Jeong] Univ Ulsan, Gangneung Asan Hosp, Coll Med, Dept Internal Med, Kangnung, Gangwon Do, South Korea; [Shin, Jeong Eun] Dankook Univ, Coll Med, Dept Internal Med, Cheonan, Chungcheongnam, South Korea; [Lim, Hyun Chul] Yonsei Univ, Yongin Severance Hosp, Coll Med, Dept Internal Med, Yongin, Gyeonggi Do, South Korea; [Lee, Sang Kil; Jung, Da Hyun; Choi, Yoon Jin] Yonsei Univ, Severance Hosp, Coll Med, Div Gastroenterol,Dept Internal Med, Seoul, South Korea; [Seo, Seung In] Hallym Univ, Kangdong Sacred Heart Hosp, Coll Med, Div Gastroenterol,Dept Internal Med, Seoul, South Korea; [Kim, Joon Sung] Catholic Univ Korea, Incheon St Marys Hosp, Coll Med, Div Gastroenterol,Dept Internal Med, Incheon, South Korea; [Lee, Jung Min] CHA Univ, Digest Dis Ctr, CHA Gangnam Med Ctr, Seoul, South Korea; [Kim, Beom Jin] Chung Ang Univ, Coll Med, Dept Internal Med, Seoul, South Korea; [Kang, Sun Hyung] Chungnam Natl Univ, Chungnam Natl Univ Hosp, Dept Gastroenterol, Sch Med, Daejeon, South Korea; [Park, Chan Hyuk] Hanyang Univ, Guri Hosp, Coll Med, Dept Internal Med, Guri, Gyeonggi Do, South Korea; [Choi, Suck Chei] Wonkwang Univ, Sch Med, Dept Internal Med, Iksan, Jeollabuk Do, South Korea; [Choi, Suck Chei] Wonkwang Univ, Sch Med, Digest Dis Res Inst, Iksan, Jeollabuk Do, South Korea; [Kwon, Joong Goo] Daegu Catholic Univ, Sch Med, Dept Internal Med, Daegu, South Korea; [Park, Kyung Sik] Keimyung Univ, Sch Med, Dept Internal Med, Daegu, South Korea; [Park, Moo In] Kosin Univ, Coll Med, Dept Internal Med, Busan, South Korea; [Lee, Tae Hee] Soonchunhyang Univ, Seoul Hosp, Dept Internal Med, Seoul, South Korea; [Kim, Seung Young] Korea Univ, Coll Med, Dept Internal Med, Seoul, South Korea; [Cho, Young Sin] Soonchunhyang Univ, Cheonan Hosp, Dept Internal Med, Div Gastroenterol, Cheonan, Chungcheongnam, South Korea; [Lee, Han Hong] Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Dept Surg, Seoul, South Korea; [Jung, Kee Wook; Kim, Do Hoon] Univ Ulsan, Asan Med Ctr, Coll Med, Dept Gastroenterol, Seoul, South Korea; [Moon, Hee Seok] Chungnam Natl Univ, Sch Med, Dept Internal Med, Daejeon, South Korea; [Miwa, Hirota; Oshima, Tadayuki] Hyogo Coll Med, Dept Internal Med, Div Gastroenterol & Hepatol, Nishinomiya, Hyogo, Japan; [Chen, Chien-Lin] Tzu Chi Univ, Inst Med Sci, Hualien, Taiwan; [Chen, Chien-Lin] Tzu Chi Univ, Coll Med, Dept Publ Hlth, Hualien, Taiwan; [Gonlachanvit, Sutep] Chulalongkorn Univ, Fac Med, Ctr Excellence Neurogastroenterol & Motil, Dept Med, Bangkok, Thailand; [Ghoshal, Uday C.] Sanjay Gandhi Postgrad Inst Med Sci, Dept Gastroenterol, Lucknow, Uttar Pradesh, India; [Wu, Justin C. Y.] Chinese Univ Hong Kong, Fac Med, Inst Digest Dis, Dept Med & Therapeut, Hong Kong, Peoples R China; [Siah, Kewin T. H.] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore, Singapore; [Siah, Kewin T. H.] Natl Univ Singapore Hosp, Univ Med Cluster, Div Gastroenterol & Hepatol, Singapore, Singapore; [Hou, Xiaohua] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Gastroenterol, Wuhan, Hubei, Peoples R China; [Choi, Mi-Young] Natl Evidence Based Healthcare Collaborating Agcy, Div Healthcare Technol Assessment Res, Seoul, South Korea; [Lee, Kwang Jae] Ajou Univ, Sch Med, Dept Gastroenterol, 164 World Cup Ro, Suwon 16499, Gyeonggi Do, South Korea
  • 등재 SCIE, SCOPUS, KCI등재
  • OA유형 Green Published, gold
  • 발행기관 KOREAN SOC NEUROGASTROENTEROLOGY & MOTILITY
  • 발행년도 2021
  • 총서유형 Journal
  • URI http://www.dcollection.net/handler/ewha/000000183708
  • 본문언어 영어
  • Published As http://dx.doi.org/10.5056/jnm21077
  • PubMed https://pubmed.ncbi.nlm.nih.gov/34642267

초록/요약

Gastroesophageal reflux disease (GERD) is a condition in which gastric contents regurgitate into the esophagus or beyond, resulting in either troublesome symptoms or complications. GERD is heterogeneous in terms of varied manifestations, test findings, and treatment responsiveness. GERD diagnosis can be established with symptomatology, pathology, or physiology. Recently the Lyon consensus defined the "proven GERD" with concrete evidence for reflux, including advanced grade erosive esophagitis (Los Angeles classification grades C and or D esophagitis), long-segment Barrett's mucosa or peptic strictures on endoscopy or distal esophageal acid exposure time > 6% on 24-hour ambulatory pH-impedance monitoring. However, some Asian researchers have different opinions on whether the same standards should be applied to the Asian population. The prevalence of GERD is increasing in Asia. The present evidence-based guidelines were developed using a systematic review and meta-analysis approach. In GERD with typical symptoms, a proton pump inhibitor test can be recommended as a sensitive, cost-effective, and practical test for GERD diagnosis. Based on a meta-analysis of 19 estimated acid-exposure time values in Asians, the reference range upper limit for esophageal acid exposure time was 3.2% (95% confidence interval, 2.7-3.9%) in the Asian countries. Esophageal manometry and novel impedance measurements, including mucosal impedance and a post-reflux swallow-induced peristaltic wave, are promising in discrimination of GERD among different reflux phenotypes, thus increasing its diagnostic yield. We also propose a long-term strategy of evidence-based GERD treatment with proton pump inhibitors and other drugs. (J Neurogastroenterol Motil 2021;27:453-481)

more