Guia de prática clínica para o diagnóstico e tratamento da doença do refluxo gastroesofágico (DRGE) em adultos: atualização 2025
DOI:
https://doi.org/10.22516/25007440.1450Palavras-chave:
Refluxo Gastroesofágico, Guia de Prática ClínicaResumo
Objetivo: brindar una guía de práctica clínica basada en la evidencia más reciente para el diagnóstico y tratamiento del reflujo gastroesofágico, considerando la efectividad y seguridad de las intervenciones, dirigida a profesionales de salud que atienden patologías gastrointestinales en cualquier servicio en Colombia.
Materiales y métodos: guía desarrollada por un equipo multidisciplinario con el apoyo de la Asociación Colombiana de Gastroenterología y la Universidad CES. Se formularon preguntas clínicas relevantes y se realizó una búsqueda en bases de datos de guías nacionales e internacionales. Las guías se evaluaron en cuanto a su calidad y aplicabilidad, de las cuales cinco cumplieron criterios para adopción o adaptación. Además, se consideraron documentos basados en la evidencia para la redacción. El Grupo de la Universidad CES realizó la búsqueda sistemática de la literatura. Se empleó la metodología GRADE y marcos de evidencia a decisión (EtD) a partir de guías, revisiones sistemáticas y metaanálisis publicados entre 2015 y 2025. El consenso se alcanzó mediante un panel multidisciplinario, considerando aplicabilidad, recursos y equidad en el sistema de salud colombiano. La metodología completa y anexos técnicos están disponibles en la versión larga, disponible en www.gastrocol.com.
Resultados: se desarrolló una guía de práctica clínica para el diagnóstico y tratamiento de pacientes con reflujo gastroesofágico en Colombia, con 6 preguntas centrales, 39 recomendaciones basadas en la evidencia y 18 puntos de buena práctica. Se actualizó la evidencia previa, se añadieron nuevas recomendaciones sobre el diagnóstico y manejo, y se incluyó un apartado para la población gestante.
Conclusiones: esta actualización incorpora nuevas recomendaciones y establece un estándar de calidad para el diagnóstico y manejo oportunos de pacientes con ERGE, lo que contribuye a disminuir la carga de la enfermedad y ofrece criterios claros para el abordaje diagnóstico, tratamiento y seguimiento.
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