When treating gastroesophageal reflux disease, doctors rely on medications sold by pharmaceutical companies and the experience they encounter in managing the symptoms of their patients. In an effort to standardize treatments, the American Gastroenterological Association (AGA) Institute has issued evidence-based treatment guidelines for better GERD management.

Generally, GERD is treated using conventional medicines like antacids, promotility agents, histamine (H2)-receptor antagonists, proton pump inhibitors or even surgery depending upon the severity of the cases as the doctors see it.

The publication contained 5 recommendations which aim to guide doctors in treating suspected cases of this reflux disease. The AGA sees the need for these guidelines in the absence of high-quality clinical trials especially for acute esophagus medical conditions.

With the release of these recommendation updates, doctors will have a clearer perspective of the healing properties pertaining to certain drug medications. The objective of which is to provide better treatment solutions in managing the symptoms of suspected GERD problems.

The up to date recommendations issued by AGA, are as follows:

1. Proton Pump Inhibitors (PPIs) elicit high level of effectiveness than histamine (H2)-receptor antagonists in treating esophageal GERD syndromes such as esophagitis.

2. It is opined by AGA that long-term use of PPIs should be continued even for a longer period of time once this is clinically proven effective. However, the use of PPI should be adjusted or reduced based on the level of symptoms.

3. If a doctor arrives at a conclusion that antireflux surgery and PPI treatment can offer the same efficiency with regards to esophageal GERD syndrome, PPI treatment should be prescribed due safety issues. Although antireflux surgery uses the minimally invasive procedure (MIP), there are still risks, complications and side effects issues involved. Examples of which are: reactions to anesthesia, infection, gas buildup, or difficulty in swallowing.

4. Antireflux surgery is the alternative solution in cases where patients with esophageal GERD syndrome has a low level of intolerance to acid suppressant medications.

5. Proper precaution should be given if two PPIs are recommended to be taken daily for chest pains suspected from reflux. Intake of two PPIs should be recommended after causes related to heart problems have been carefully taken into consideration.

The above mentioned GERD management guidelines are based on results coming from AGA’s technical reviewers duly supported by tested evidences. As additional information about AGA, it is an association which was founded in 1897 by scientists and physicians whose goals are to conduct research and diagnosis that can help in the cure of medical conditions related to liver and gastrointestinal tract disorders.

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