Indian consensus on gastroesophageal reflux disease in adults: A position statement of the Indian Society of Gastroenterology

被引：28

作者：

Bhatia, Shobna J. ^{[1
]}

Makharia, Govind K. ^{[2
]}

Abraham, Philip ^{[3
,4
]}

Bhat, Naresh ^{[5
]}

Kumar, Ajay ^{[6
]}

Reddy, D. Nageshwar ^{[7
]}

Ghoshal, Uday C. ^{[8
]}

Ahuja, Vineet ^{[2
]}

Rao, G. Venkat ^{[7
]}

Devadas, Krishnadas ^{[9
]}

Dutta, Amit K. ^{[10
]}

Jain, Abhinav ^{[1
]}

Kedia, Saurabh ^{[2
]}

Dama, Rohit ^{[7
]}

Kalapala, Rakesh ^{[7
]}

Alvares, Jose Filipe ^{[11
]}

Dadhich, Sunil ^{[12
]}

Dixit, Vinod Kumar ^{[13
]}

Goenka, Mahesh Kumar ^{[14
]}

Goswami, B. D. ^{[15
]}

Issar, Sanjeev K. ^{[16
]}

Leelakrishnan, Venkatakrishnan ^{[17
]}

Mallath, Mohandas K. ^{[18
]}

Mathew, Philip ^{[19
]}

Mathew, Praveen ^{[20
]}

Nandwani, Subhashchandra ^{[21
]}

Pai, Cannanore Ganesh ^{[22
]}

Peter, Lorance ^{[23
]}

Prasad, A. V. Siva ^{[24
]}

Singh, Devinder ^{[25
]}

Sodhi, Jaswinder Singh ^{[26
]}

Sud, Randhir ^{[27
]}

Venkataraman, Jayanthi ^{[28
]}

Midha, Vandana ^{[29
]}

Bapaye, Amol ^{[30
]}

Dutta, Usha ^{[31
]}

Jain, Ajay K. ^{[32
]}

Kochhar, Rakesh ^{[31
]}

Puri, Amarender S. ^{[33
]}

Singh, Shivram Prasad ^{[34
]}

Shimpi, Lalit ^{[35
]}

Sood, Ajit ^{[29
]}

Wadhwa, Rajkumar T. ^{[36
]}

机构：

[1] Seth GS Med Coll & KEM Hosp, Mumbai 400012, Maharashtra, India

[2] All India Inst Med Sci, New Delhi 110029, India

[3] PD Hinduja Hosp & MRC, Mumbai 400016, Maharashtra, India

[4] Hinduja Heathcare Surg, Mumbai 400016, Maharashtra, India

[5] Aster CMI Hosp, Bengaluru 560092, India

[6] Fortis Escorts Liver & Digest Dis Inst, Delhi 110025, India

[7] Asian Inst Gastroenterol, Hyderabad 500082, India

[8] Sanjay Gandhi Postgrad Inst Med Sci, Dept Gastroenterol, Lucknow 226014, Uttar Pradesh, India

[9] Govt Med Coll, Trivandrum 695011, Kerala, India

[10] Christian Med Coll & Hosp, Vellore 632004, Tamil Nadu, India

[11] Victor Hosp, Margao 403601, Goa, India

[12] SN Med Coll & Hosp, Jodhpur 342003, Rajasthan, India

[13] Banaras Hindu Univ, Inst Med Sci, Varanasi 221005, Uttar Pradesh, India

[14] Appollo Gleneagles Hosp, Kolkata 700054, India

[15] Gauhati Med Coll, Dispur Hosp, Gauhati 781032, India

[16] JLN Hosp & Res Ctr, Bhilai Steel Plant, Bhilai 490009, India

[17] PSG Inst Med Sci, Coimbatore 641002, Tamil Nadu, India

[18] Tata Med Ctr, Kolkata 700156, India

[19] PVS Mem Hosp, Kochi 682017, Kerala, India

[20] Vydehi Inst Med Sci & Res Ctr, Bengaluru 560066, India

[21] Surat Inst Digest Sci, Surat 395002, India

[22] Manipal Acad Higher Educ, Kasturba Med Coll, Manipal 576104, Karnataka, India

[23] Columbia Asia Hosp, Bengaluru 560075, India

[24] Inst Gastroenterol, Visakhapatnam 530002, Andhra Pradesh, India

[25] Apollo Hosp, Bilaspur 495006, India

[26] Sherikashmir Inst Med Sci, Srinagar 190001, Jammu & Kashmir, India

[27] Medanta Medic, Gurugram 122001, India

[28] Gleneagles Global Hlth City, Chennai 600100, Tamil Nadu, India

[29] Dayanand Med Coll & Hosp, Ludhiana 141001, Punjab, India

[30] Deenanath Mangeshkar Hosp & Res Ctr, Pune 411004, Maharashtra, India

[31] Postgrad Inst Med Educ & Res, Chandigarh 160012, India

[32] Choithram Hosp & Res Ctr, Indore 452014, Madhya Pradesh, India

[33] GB Pant Hosp, Delhi 110002, India

[34] SCB Med Coll, Cuttack 753007, India

[35] Jehangir Hosp, Pune 411001, Maharashtra, India

[36] Apollo BGS Hosp, Mysuru 570023, India

来源：

INDIAN JOURNAL OF GASTROENTEROLOGY | 2019年 / 38卷 / 05期

关键词：

Barrett's esophagus; Esophageal manometry; Esophageal pH monitoring; Proton pump inhibitors; PROTON-PUMP INHIBITORS; QUALITY-OF-LIFE; NOCTURNAL ACID-BREAKTHROUGH; LOW-GRADE DYSPLASIA; BODY-MASS INDEX; ESOPHAGOGASTRIC JUNCTION DISTENSIBILITY; BARRETTS-ESOPHAGUS PATIENTS; ASIA-PACIFIC CONSENSUS; NONCARDIAC CHEST-PAIN; WEIGHT-LOSS;

D O I：

10.1007/s12664-019-00979-y

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The Indian Society of Gastroenterology developed this evidence-based practice guideline for management of gastroesophageal reflux disease (GERD) in adults. A modified Delphi process was used to develop this consensus containing 58 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 10 on epidemiology, 8 on clinical presentation, 10 on investigations, 23 on treatment (including medical, endoscopic, and surgical modalities), and 7 on complications of GERD. When the proportion of those who voted either to accept completely or with minor reservation was 80% or higher, the statement was regarded as accepted. The prevalence of GERD in India ranges from 7.6% to 30%, being < 10% in most population studies, and higher in cohort studies. The dietary factors associated with GERD include use of spices and non-vegetarian food. Helicobacter pylori is thought to have a negative relation with GERD; H. pylori negative patients have higher grade of symptoms of GERD and esophagitis. Less than 10% of GERD patients in India have erosive esophagitis. In patients with occasional or mild symptoms, antacids and histamine H-2 receptor blockers (H2RAs) may be used, and proton pump inhibitors (PPI) should be used in patients with frequent or severe symptoms. Prokinetics have limited proven role in management of GERD.

引用

页码：411 / 440

页数：30

共 261 条

[1] Palisade Vessels as a New Histologic Marker of Esophageal Origin in ER Specimens From Columnar-Lined Esophagus
Aida, Junko
Vieth, Michael
Ell, Christian
May, Andrea
Pech, Oliver
Hoshihara, Yoshio
Kumagai, Youichi
Kawada, Kenro
Hishima, Tsunekazu
Tateishi, Yoko
Sawabe, Motoji
Arai, Tomio
Matsuura, Masaaki
Takubo, Kaiyo
[J]. AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2011, 35 (08) : 1140 - 1145
[2] Variable pathologic interpretation of columnar lined esophagus by general pathologists in community practice
Alikhan, M
Rex, D
Khan, A
Rahmani, E
Cummings, O
Ulbright, TM
[J]. GASTROINTESTINAL ENDOSCOPY, 1999, 50 (01) : 23 - 26
[3] Use of a positional therapy device significantly improves nocturnal gastroesophageal reflux symptoms
Allampati, S.
Lopez, R.
Thota, P. N.
Ray, M.
Birgisson, S.
Gabbard, S. L.
[J]. DISEASES OF THE ESOPHAGUS, 2017, 30 (03):
[4] Amarapurkar A D, 1998, Indian J Pathol Microbiol, V41, P431
[5] Response of the airways and autonomic nervous system to acid perfusion of the esophagus in patients with asthma: a laboratory study
Amarasiri, D. Lakmali
Pathmeswaran, Arunasalam
de Silva, H. Janaka
Ranasinha, Channa D.
[J]. BMC PULMONARY MEDICINE, 2013, 13
[6] Prevalence and risk factors of gastro-esophageal reflux disease among undergraduate medical students from a southern Indian medical school: A cross-sectional study
Arivan R.
Deepanjali S.
[J]. BMC Research Notes, 11 (1)
[7] A quasi-experimental test of an intervention to increase the use of thiazide-based treatment regimens for people with hypertension
Ashton, Carol M.
Khan, Myrna M.
Johnson, Michael L.
Walder, Annette
Stanberry, Elizabeth
Beyth, Rebecca J.
Collins, Tracie C.
Gordon, Howard S.
Haidet, Paul
Kimmel, Barbara
Kolpakchi, Anna
Lu, Lee B.
Naik, Aanand D.
Petersen, Laura A.
Singh, Hardeep
Wray, Nelda P.
[J]. IMPLEMENTATION SCIENCE, 2007, 2 (1)
[8] Ates Fehmi, 2014, Gastroenterol Hepatol (N Y), V10, P729
[9] A very low-carbohydrate diet improves gastroesophageal reflux and its symptoms
Austin, Gregory L.
Thiny, Michelle T.
Westman, Eric C.
Yancy, William S., Jr.
Shaheen, Nicholas J.
[J]. DIGESTIVE DISEASES AND SCIENCES, 2006, 51 (08) : 1307 - 1312
[10] Prevalence of eosinophilic esophagitis in patients with gastroesophageal reflux symptoms: A cross-sectional study from a tertiary care hospital in North India
Baruah B.
Kumar T.
Das P.
Thakur B.
Sreenivas V.
Ahuja V.
Gupta S.D.
Makharia G.K.
[J]. Indian Journal of Gastroenterology, 2017, 36 (5) : 353 - 360

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