Evidence map›Paper›PMID 37734911›Full record

ReviewGut2024

Updates to the modern diagnosis of GERD: Lyon consensus 2.0.

C Prakash Gyawali, Rena Yadlapati, Ronnie Fass, David Katzka, John Pandolfino, Edoardo Savarino, Daniel Sifrim, Stuart Spechler, Frank Zerbib, Mark R Fox and 11 more

2 registry-linked trialsOpen access · hybridAbstract readCase ReportsReviewConsensus Statement
In one paragraph

Review in Gut, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 262 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
262citing papers in PubMed, 12 pooled it
123.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06339801 recruitingnot on this map

Role of Mucosal Impedance Measurement for the Diagnosis of Gastroesophageal Reflux Disease

TypeobservationalSponsorHospital de Clinicas José de San MartínRan2024 to 2026Enrolled100ConditionsGastroesophageal RefluxArmsMiVu
NCT07707011 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Potassium Competitive Acid Blocker (PCAB) Test-Guided vs Physiologic Test-Guided Treatment in Patients With Typical Reflux Symptoms: A Randomized Non-inferiority Trial

TypeinterventionalSponsorMahidol UniversityRan2026 to 2027Enrolled120ConditionsGERD, Acid Reflux, TreatmentArmsPCAB-test guided
3 · Its place in the literature

Who cites it

262 citing papers in PubMed, 12 syntheses or guidelines pooled it, 446 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  5. European clinical practice guideline: managing and treating laryngopharyngeal reflux disease.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Guideline
  6. Diagnosis and Treatment of Adult Patients with Cough.Respiration; international review of thoracic diseases · 2025
    Guideline
  7. Pooled it
  8. Pooled it
  9. Guideline
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Randomized Controlled Trial of Upper Esophageal Sphincter Assist Device in Laryngopharyngeal Reflux Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Trial
  14. Trial
  15. Trial
  16. Article
  17. Article
  18. Article
  19. What is new in Rome V?: Redefining diagnostic criteria and clinical pathways in disorders of gut-brain interaction.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  20. Article

202 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 20 institutions in 13 countries.

C Prakash GyawaliDivision of Gastroenterology, Washington University School of Medicine, St Louis, Missouri, USA cprakash@wustl.edu.ORCID 0000-0002-3388-0660
Rena YadlapatiDivision of Gastroenterology, University of California in San Diego, La Jolla, California, USA.
Ronnie FassMedicine/Section of Gastroenterology, Case Western Reserve University, Cleveland, Ohio, USA.
David KatzkaGastroenterology and Hepatology, Columbia University, New York, New York, USA.
John PandolfinoGastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Edoardo SavarinoDepartment of Surgery, Oncology and Gastroenterology, Department of Medical and Surgical Specialties, University of Padua, Padova, Italy.
Daniel SifrimBlizard Institute, Barts and The London School of Medicine and Dentistry, London, UK.ORCID 0000-0002-4894-0523
Stuart SpechlerDivision of Gastroenterology, Baylor Scott and White North Texas, Dallas, Texas, USA.
Frank ZerbibGastroenterology, CHU de Bordeaux, Bordeaux, France.ORCID 0000-0002-6802-2121
Mark R FoxGastroenterology, University of Zurich, Zurich, Switzerland.ORCID 0000-0003-4394-5584
Shobna BhatiaGastroenterology, NIMS University, Jaipur, India.
Nicola de BortoliDivision of Gastroenterology, University of Pisa, Pisa, Italy.
Yu Kyung ChoGastroenterology, Catholic University of Korea - Songsin Campus, Seoul, Korea (the Republic of).
Daniel CisternasDigestive System Research Unit, Universidad del Desarrollo Facultad de Medicina Clínica Alemana, Las Condes, Chile.
Chien-Lin ChenDepartment of Medicine, Tzu Chi University, Hualien, Taiwan.ORCID 0000-0002-9084-8210
Charles CockDepartment of Gastroenterology and Hepatology, Flinders University, Adelaide, South Australia, Australia.
Albis HaniGastroenterology Unit, Department of Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.
Jose Maria Remes TrocheDigestive Physiology and Motility Lab, Veracruzana University, Xalapa, Mexico.
Yinglian XiaoDepartment of Gastroenterology, Sun Yan-sen University of Medical Sciences, Guangzhou, China.
Michael F VaeziDepartment of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Sabine RomanDepartment of Digestive Physiology, Universite de Lyon, Lyon, France.ORCID 0000-0002-7798-7638
University Gastroenterology · USBaylor Medical Center at Garland · USCentre Hospitalier Universitaire de Bordeaux · FRColumbia University · USFlinders University · AUNIMS University · INNorthwestern University · USPontificia Universidad Javeriana · COQueen Mary University of London · GBSun Yat-sen University · CNTzu Chi University · TWUniversidad del Desarrollo · CLUniversidad Veracruzana · MXUniversité Claude Bernard Lyon 1 · FRUniversity of California San Diego · USUniversity of Padua · ITUniversity of Pisa · ITUniversity of Zurich · CHVanderbilt University · USWashington University in St. Louis · US

Funding

Role of altered response to volumetric distension in esophageal diseaseP01DK117824 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PANDOLFINO, JOHN E · 2018 to 2022
$7.3M
Targeting Hypervigilance and Autonomic Arousal: the Psycho-physiologic Model of GERDR01DK092217 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI JOHN E PANDOLFINO · 2012 to 2026
$5.0M
Mechanism Guided Therapy for Laryngopharyngeal RefluxK23DK125266 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI YADLAPATI, RENA HIREN · 2021 to 2025
$963k
NIDDK NIH HHS K23 DK125266NIDDK NIH HHS P01 DK117824NIDDK NIH HHS R01 DK092217
6 · The paper itself

Abstract

The Lyon Consensus provides conclusive criteria for and against the diagnosis of gastro-oesophageal reflux disease (GERD), and adjunctive metrics that consolidate or refute GERD diagnosis when primary criteria are borderline or inconclusive. An international core and working group was assembled to evaluate research since publication of the original Lyon Consensus, and to vote on statements collaboratively developed to update criteria. The Lyon Consensus 2.0 provides a modern definition of actionable GERD, where evidence from oesophageal testing supports revising, escalating or personalising GERD management for the symptomatic patient. Symptoms that have a high versus low likelihood of relationship to reflux episodes are described. Unproven versus proven GERD define diagnostic strategies and testing options. Patients with no prior GERD evidence (unproven GERD) are studied using prolonged wireless pH monitoring or catheter-based pH or pH-monitoring off antisecretory medication, while patients with conclusive GERD evidence (proven GERD) and persisting symptoms are evaluated using pH-impedance monitoring while on optimised antisecretory therapy. The major changes from the original Lyon Consensus criteria include establishment of Los Angeles grade B oesophagitis as conclusive GERD evidence, description of metrics and thresholds to be used with prolonged wireless pH monitoring, and inclusion of parameters useful in diagnosis of refractory GERD when testing is performed on antisecretory therapy in proven GERD. Criteria that have not performed well in the diagnosis of actionable GERD have been retired. Personalisation of investigation and management to each patient's unique presentation will optimise GERD diagnosis and management.

Indexed as

EsophagitisGastroesophageal RefluxEsophageal pH MonitoringHumansProton Pump InhibitorsProton Pump InhibitorsAMBULATORY pH MONITORINGENDOSCOPYGASTROESOPHAGEAL REFLUX DISEASE

Identifiers

PMID37734911
PMCPMC10846564
OpenAlexW4386922138

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.