Clinical usefulness of adherence to gastro-esophageal reflux disease guideline by Spanish gastroenterologists

Figure 1 Management algorithm of patients with heartburn or regurgitation that should be used according to recommendations of the Spanish Clinical Practice Guideline. PPI: Proton pump inhibitor.

Figure 2 Distribution of typical gastro-esophageal reflux disease symptoms according to severity.

Figure 3 Upper gastrointestinal endoscopy was prescribed in 98% of patients with alarm symptoms (in accordance with the guideline) and in 33% of patients older than 50 years of age without alarm symptoms (not in accordance with the guideline).