Question

A 55-year-old with obesity and severe OSA has resistant reflux symptoms despite optimized PPI and normal endoscopy. Which next step is consistent with ACG guidance?

Accepted Answer

Add nighttime H2RA and address lifestyle/weight; consider pH-impedance testing

Answer

Empiric prolonged antibiotics

Answer

Stop all acid suppression

Answer

Start chronic baclofen without testing

Answer

Proceed to fundoplication without objective evidence

Practice question

A 55-year-old with obesity and severe OSA has resistant reflux symptoms despite optimized PPI and normal endoscopy. Which next step is consistent with ACG guidance?