ACG GERD Guidelines 2022: What Every Patient Should Know

What Do the Latest Medical Guidelines Say About GERD Diagnosis and Treatment?

The 2022 American College of Gastroenterology clinical guidelines provide evidence-based recommendations emphasizing symptom-based diagnosis for typical GERD, step-wise treatment approaches starting with lifestyle modifications, and appropriate use of proton pump inhibitors with attention to long-term safety considerations and de-prescribing strategies.

Dr. Kumar’s Take

These updated ACG guidelines reflect a more nuanced approach to GERD management that balances effective treatment with growing concerns about long-term PPI use. The emphasis on lifestyle modifications as first-line therapy and the inclusion of de-prescribing recommendations shows the field is moving toward more personalized, sustainable treatment approaches. Most importantly, the guidelines recognize that not all GERD patients need lifelong acid suppression.

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Clinical Practice Guidelines for Sleep Apnea and Snoring Treatment with Oral Appliances

What Do Clinical Guidelines Say About Oral Appliances for Sleep Apnea?

Updated clinical practice guidelines recommend oral appliance therapy as an effective first-line treatment for mild to moderate obstructive sleep apnea and primary snoring, with specific recommendations for patient selection, device types, and follow-up protocols. The guidelines, developed by the American Academy of Sleep Medicine and American Academy of Dental Sleep Medicine, establish that custom-fitted mandibular advancement devices are preferred over over-the-counter options, with effectiveness rates of 65-70% for reducing sleep apnea severity. The recommendations emphasize that oral appliances are particularly suitable for patients who cannot tolerate CPAP therapy, prefer a non-invasive treatment option, or have mild to moderate OSA without significant comorbidities.

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