ACR Appropriateness Criteria® Epigastric Pain

The authors aim to establish evidence-based guidelines for the diagnosis and management of epigastric pain, which can arise from various overlapping gastrointestinal conditions. They review specific scenarios, including complications from gastroesophageal reflux disease (GERD), perforations, and post-surgical issues, while utilizing the American College of Radiology Appropriateness Criteria to guide imaging and treatment recommendations. The document emphasizes the importance of systematic literature analysis and expert consensus in formulating these guidelines.