A new analysis presented at DDW 2025 shows just how much a gastroenterologist’s vs. a surgeon’s perspective can shape GERD treatment.
The study compared three guideline sets: AGA (largely GI-authored evidence), ACG (almost entirely GI-driven), and a multi-society consensus (dominated by surgical literature with some GI input). The divide was striking:
- AGA panel reviewed 55 studies — 91% authored by gastroenterologists.
- ACG panel reviewed 325 studies — all from gastroenterologists.
- MSC panel reviewed 189 studies — majority authored by surgeons across multiple specialties.
The result? Patients may be directed toward very different management pathways depending on whether they start with a GI or a surgeon.