A 60-year-old with chronic GERD and biopsy-proven Barrett's esophagus (non-dysplastic) asks about PPI use. What is recommended?...

Question

A 60-year-old with chronic GERD and biopsy-proven Barrett's esophagus (non-dysplastic) asks about PPI use. What is recommended?

Accepted Answer

Continue daily PPI for symptom control and potential chemoprevention

Answer

Stop PPI to reduce infection risk

Answer

Switch to H2 blocker only

Answer

Use on-demand PPI only when symptomatic

Answer

Start high-dose PPI BID indefinitely for all

us-abim MCQ (SBA): Barrett's-PPI Strategy