Chairs: Carmelo Scarpignato (Malta) – C. Prakash Gyawali (USA)
I – Acid Suppression: Present and Future
Acid Suppression: Limitations of the Current Antisecretory Drugs. Why do PPIs fail in some patients, and what are the true boundaries of acid suppression? – Justin Wu (Hong Kong)
Potassium-competitive Acid Blockers (P-CABs): A Step Forward in Acid Suppression. Do they really represent a paradigm shift or just an incremental advance? –Carmelo Scarpignato (Malta)
P-CABs for GERD: When and How. Patient profiles, timing, and switching strategies. – Ronny Fass (USA)
Alginate-containing Formulations: Before, With, or After PPIs? Optimizing the synergy between mechanical and pharmacologic acid control. – Serhat Bor (Turkey)
II – Mucosal Protection and Beyond
Mucosal Protective Compounds for GERD: How Much Are They Effective?Evidence and clinical relevance of sucralfate, hyaluronic acid–chondroitin sulfate, and similar agents. – Daniel Sifrim (UK)
The Status of Pepsin Inhibitors for PPI-Refractory GERD and LPR. A promising approach or another dead end? – Nikki Johnston (USA)
III – Motility & Neuromodulation
GI Prokinetics: Which Role in GERD? From metoclopramide to acotiamide—any real progress? – José María Remes Troche (Mexico)
When Are Neuromodulators Indicated in GERD? Functional heartburn, reflux hypersensitivity, and esophageal perception. – C. Prakash Gyawali (USA)
IV – Eosinophilic Esophagitis (EoE)
PPIs or Steroids for EoE: Alone or in Combination? Balancing efficacy, safety, and long-term management. – Nirmala Gonsalves (USA)
EoE: When to Start Biologic Therapy and How? Current position of anti–IL-13/IL-4 agents and future perspectives. – Nicola De Bortoli (Italy)
V – Motor Disorders & New Frontiers
Smooth Muscle Relaxants for Achalasia: Still a Bridge Treatment? Are pharmacologic options still relevant in the POEM era? – Mark Fox (Switzerland)
Long-term Safety and Pharmacogenetics of Acid Suppression. Are we ready for tailored therapy and precision acid suppression? – Walter W. Chan (USA)
Reflux Inhibitors: A Promise Unfulfilled or a Niche Therapy? TargeQng TLESRs: TranslaQonal Failures and Clinical Residues – Marcelo Vela (USA)