A 66-year-old man with poorly controlled GERD despite 8 weeks of PPI therapy reports dysphagia. What is the appropriate next step?...

Question

A 66-year-old man with poorly controlled GERD despite 8 weeks of PPI therapy reports dysphagia. What is the appropriate next step?

Accepted Answer

Upper endoscopy to assess for complications

Answer

Increase PPI to TID without further evaluation

Answer

Add metoclopramide and continue PPI

Answer

Barium swallow only

Answer

Discontinue PPI and obtain pH study on therapy

us-abfm MCQ (SBA): GERD-Alarm Features