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.

