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Acid peptic disorder compass: An Indian expert consensus on comprehensive management
Saroj Kant Sinha1, Rakesh Kochhar2, Ks Somasekhar Rao3
1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Summary
Accurate diagnosis of acid peptic disorders (APD) is challenging due to overlapping symptoms. This consensus provides an algorithm for precise diagnosis and rational acid-suppressant use in India.
Area of Science:
- Gastroenterology
- Internal Medicine
- Pharmacology
Background:
- Overlapping symptoms of GERD, PUD, and FD complicate diagnosis.
- Widespread self-treatment with OTC PPIs in India poses risks.
- Unsupervised acid suppressant use can decrease efficacy and increase adverse events.
Purpose of the Study:
- To develop expert consensus statements for differentiating APDs.
- To guide rational use of acid-suppressive therapies.
- To create a diagnostic and management algorithm for Indian physicians.
Main Methods:
- A task force of 13 gastroenterologists reviewed existing evidence.
- Literature search and summarization were performed.
- Consensus statements were developed through discussion and validation.
Main Results:
- 20 expert consensus statements were finalized.
- A comprehensive algorithm, the APD 360° compass, was created.
- The algorithm aids in diagnosis and management of APDs.
Conclusions:
- The APD 360° compass algorithm can guide physicians in India.
- Timely diagnosis and appropriate interventions can improve patient quality of life.
- Rational use of acid suppressants is emphasized.
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