A 48-year-old with refractory GERD despite optimized PPI twice daily has pathologic acid exposure on pH study. Best definitive option?...

Question

A 48-year-old with refractory GERD despite optimized PPI twice daily has pathologic acid exposure on pH study. Best definitive option?

Accepted Answer

Laparoscopic fundoplication in appropriate surgical candidates

Answer

Transoral incisionless fundoplication in all

Answer

Increase PPI to three times daily

Answer

Stop PPI and observe

Answer

H2 blocker only

"moderate" MCQ (SBA): Gastroenterology