Italian experts recommend a symptom-based strategy for diagnosing gastroesophageal reflux disease (GERD), emphasizing the exclusion of alarm symptoms and non-GERD causes. For those with alarm features or unresponsive to standard treatments, more invasive tests like esophago-gastro-duodenoscopy are advised. Treatment protocols advocate a 4-8 week course of proton pump inhibitors (PPIs) for most patients, reserving higher doses for specific cases. These guidelines aim to enhance clinical efficacy and standardize care across practices.
Practice Guideline by Savarino EV, Barberio B (…) Sarnelli G et 23 al. in Dig Liver Dis
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