GERD: Current Landscape of Testing and Management | March 2025

Video Transcription

Video Summary

The webinar titled "GERD, Current Landscape of Testing and Management in 2025," presented by ASGE's Thursday Night Lights, featured experts discussing advancements in GERD diagnosis and treatment. Dr. Rita Knotts and Dr. Hari Mahadev moderated. Dr. Shreya Chablani focused on GERD's pathophysiology, emphasizing the importance of distinguishing patients with erosive and non-erosive GERD for accurate diagnosis using tools like wireless pH testing and pH impedance testing.<br /><br />Dr. Philip Katz discussed the emerging role of potassium-competitive acid blockers (PCABs) in GERD management, highlighting their benefits over traditional PPIs, such as rapid onset and meal independence, which might provide better patient compliance and symptom relief, especially in cases of more severe esophagitis.<br /><br />Dr. Petrus Benias presented on novel endoscopic therapies for GERD, emphasizing mucosal remodeling techniques like ARMS, RAP, and mucosal ablation, potential alternatives to surgical options that could supplement traditional GERD treatment approaches.<br /><br />Dr. Peter Janu reviewed innovations in anti-reflux surgery, incorporating techniques like TIF and magnetic sphincter augmentation, discussing patient selection for these minimally invasive approaches compared to traditional fundoplication.<br /><br />The panel underscored the importance of personalized GERD management, integrating new therapies and technological advancements tailored to individual patient needs, stressing the ongoing need for thorough preoperative assessment and collaboration between gastroenterologists and surgeons to optimize patient outcomes.

Keywords

GERD

diagnosis

treatment

potassium-competitive acid blockers

PCABs

endoscopic therapies

anti-reflux surgery

personalized management

wireless pH testing

mucosal remodeling

TIF

magnetic sphincter augmentation