The Montreal Definition and Classification of Gastroesophageal Reflux Disease: A Global Evidence-Based Consensus

http://asep.ca/wp-content/uploads/2016/03/Shaheen-ACG-Barretts-Guidelines-2015-copy.pdf

ACG Clinical Guideline: Diagnosis and Management of Barrett's Esophagus

These guidelines provide a practical and evidence-based resource for the management of patients with Barrett's oesophagus and related early neoplasia. The Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument was followed to provide a methodological strategy for the guideline development. A systematic review of the literature was performed for English language articles published up until December 2012 in order to address controversial issues in Barrett's oesophagus including definition, screening and diagnosis, surveillance, pathological grading for dysplasia, management of dysplasia, and early cancer including training requirements. The rigour and quality of the studies was evaluated using the SIGN checklist system. Recommendations on each topic were scored by each author using a five-tier system (A+, strong agreement, to D+, strongly disagree). Statements that failed to reach substantial agreement among authors, defined as >80% agreement (A or A+), were revisited and modified until substantial agreement (>80%) was reached. In formulating these guidelines, we took into consideration benefits and risks for the population and national health system, as well as patient perspectives. For the first time, we have suggested stratification of patients according to their estimated cancer risk based on clinical and histopathological criteria. In order to improve communication between clinicians, we recommend the use of minimum datasets for reporting endoscopic and pathological findings. We advocate endoscopic therapy for high-grade dysplasia and early cancer, which should be performed in high-volume centres. We hope that these guidelines will standardise and improve management for patients with Barrett's oesophagus and related neoplasia.

https://gut.bmj.com/content/gutjnl/63/1/7.full.pdf

British Society of Gastroenterology guidelines on the diagnosis and management of Barrett's oesophagus

Clinical history, questionnaire data and response to antisecretory therapy are insufficient to make a conclusive diagnosis of GERD in isolation, but are of value in determining need for further investigation. Conclusive evidence for reflux on oesophageal testing include advanced grade erosive oesophagitis (LA grades C and D), long-segment Barrett’s mucosa or peptic strictures on endoscopy or distal oesophageal acid exposure time (AET) >6% on ambulatory pH or pH-impedance monitoring. A normal endoscopy does not exclude GERD, but provides supportive evidence refuting GERD in conjunction with distal AET

https://gut.bmj.com/content/gutjnl/67/7/1351.full.pdf

Modern diagnosis of GERD: the Lyon Consensus

https://www.gastroscan.ru/literature/pdf/acg02-gerd-treatment.pdf

Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease

https://www.gastrojournal.org/article/S0016-5085(03)01523-3/pdf

Screening for Barrett's esophagus in colonoscopy patients with and without heartburn.

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Screening for Barrett's esophagus in colonoscopy patients with and without heartburn.